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In summary, both intramuscular and intravenous methods have their uses in B12 therapy

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ICD-10 requires only one code (Z23) per vaccination, regardless if single or combination

Dr Lapp's supplement recommendations Dr Charles Lapp, founder of the Hunter-Hopkins Center for chronic fatigue syndrome and fibromyalgia has recommended the following protocol of nutritional supplements: a multivitamin, vitamin B12, vitamin D3, calcium, magnesium, D-ribose, DHEA, Lysine, fish oil, plus for the most severely ill he also recommends NADH and acetylcarnitine

High-risk groups include individuals with functional or anatomic asplenia, HIV infection, leukemia, lymphoma, Hodgkins disease, multiple myeloma, generalized malignancy, chronic kidney failure, nephrotic syndrome, or other immunosuppressive conditions