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Many individuals absorb B12 poorly from food or pills due to low intrinsic factor or other gastrointestinal limitations

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ICD-9 code: 355.9 Piriformis syndrome (mononeuritis) CPT codes: 20552 Trigger point injections, 1-2 muscles 77002 Fluoroscopic guidance, non-spinal Remember to bill for the injectables (contrast, steroid) if done in an office procedure room Solution (injectable): Corticosteroids: 40-mg of Depo-Medrol or Kenalog Local anesthetics: 3-5-ml of local anesthetic (lidocaine or bupivacaine) Note: Can also be done with botulinum toxin (Botox, Myobloc, Dysport) for longer relief than steroid and local anesthetic
Because it doesnt increase IGF-1 levels or interfere with endogenous hormones, it avoids many of the common risks associated with anabolic compounds or aggressive weight loss drugs

What a B12 Booster Involves (In Simple, Reassuring Terms) Getting a B12 booster is simple

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