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Establish and document medical necessity Clinical notes must describe the patients symptoms, duration of the condition, physical exam findings, and prior conservative treatments

Have a BMI of 27 or higher and are experiencing weight-related health conditions such as type 2 diabetes, high blood pressure, sleep apnea, or high cholesterol

Including cyanocobalamin in the injection ensures adequate B12 replacement to prevent neurological complications and megaloblastic anemia that can develop over months of restricted intake

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It helps mood and sleep patterns by helping the body produce serotonin, melatonin, and norepinephrine, a stress hormone