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Although compounded medications are not FDA-approved, they must still meet USP standards for pharmaceutical compounding, which specify that once an expiration date is reached, the product cannot be guaranteed sterile or potent
a healthcare provider may recommend them once a month or even quarterly, depending on individual needs
Secondary diagnosis codes reflecting high-risk conditions may be added but do not replace Z23 as the primary code
This is not uncommon and may be related to the body adjusting to a rapid increase in B12 availability, especially in patients who were significantly deficient
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