Went smoothly
Amputation A diagnosis with ICD-10-CM code Z89.2*, Z89.6*, S78.011A, S98.011A, S78.012A, S98.012A, S78.019A, S98.019A, S78.021A, S98.021A, S78.022A, S98.022A, S78.029A, S98.029A, S78.111A, S98.111A, S78.112A, S98.112A, S78.119A, S98.119A, S78.121A, S98.121A, S78.122A, S98.122A, S78.129A, S98.129A, S78.911A, S98.131A, S78.912A, S98.132A, S78.919A, S98.139A, S78.921A, S98.141A, S78.922A, S98.142A, S78.929A, S98.149A, S88.011A, S98.211A, S88.012A, S98.212A, S88.019A, S98.219A, S88.021A, S98.221A, S88.022A, S98.222A, S88.029A, S98.229A, S88.111A, S98.311A, S88.112A, S98.312A, S88.119A, S98.319A, S88.121A, S98.321A, S88.122A, S98.322A, S88.129A, S98.329A, S88.911A, S98.911A, S88.912A, S98.912A, S88.919A, S98.919A, S88.921A, S98.921A, S88.922A, S98.922A, S88.929A, S98.929A or a procedure with ICD-10-PCS code 0Y6[23478CDFGHJ]* or 0X6[012389BCDF]* Pregnancy A diagnosis with ICD-10-CM code O*, a pregnancy episode, or a birth record Bariatric surgery A procedure with CPT code 43644, 43645, 43659, 43770, 43771, 43772, 43773, 43774, 43775, 43845, 43846, 43847, 43848, 43886, 43887, 43888, 43842, or 43843 Limitations We allow a patient to be included in each month, using their highest weight in that month
Methylcobalamin and methionine are particularly sensitive to oxidative degradation, and the lipotropic amino acids (choline, inositol, methionine) begin breaking down into inactive metabolites within days at ambient temperature
Table 20
Reduce the dose rather than increasing it
Why some pharmacies skip B12: a growing number of compounding pharmacies offer "plain" semaglutide because some patients don't want the additive (they may already supplement B12 orally), some prefer not to inject anything they don't strictly need, and the cleaner formula has a longer shelf life since fewer ingredients can degrade
