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Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating

Bacteriostatic water should be stored according to the manufacturers instructions and applicable laboratory protocols

Modifier 25 and Modifier 59 are commonly reported when documentation supports separately identifiable services

Though not dangerous, these symptoms can be uncomfortable and may persist with continued high-dose usage

A deficiency in vitamin B12 can cause fatigue, headaches, indigestion, problems with your vision, increased risk of obesity, and cognitive difficulties