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Pregnant or breastfeeding patients should discuss with their obstetric provider before starting this injection, and ensure all healthcare team members are aware, so that vitamin levels and any pregnancy-related effects can be monitored appropriately

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Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time

Physicians and providers must document medical necessity in the medical record, since proper billing, coverage, and reimbursement depend on accurate coding information

PRF is created by collecting a small sample of the patients blood and processing it in a centrifuge to concentrate the platelets and growth factors