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[3] If you require B12 supplementation and are concerned about skin effects, discuss preventive skincare strategies with your healthcare provider before starting treatment, and monitor your skin during the initial weeks of therapy

We would then include these four indicators in the algorithm: 0 + 0.60.1 + (2*2.4) = 5.3

Its smart to keep an eye on B12 levels to adjust treatment as needed

There is no evidence that beneficiaries of the VHA or TRICARE programs experience difficulty accessing compression treatment garments, so it would be difficult to justify the need for such a significantly higher payment amountand commensurately higher beneficiary copayfor Medicare, potentially resulting in payment amounts that are too high, which, as noted previously, was a concern of other commenters

If it has degraded more, you are still underdosing