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A 50-year-old with heart disease might be at elevated risk and need a different strategy

Diabetic Neuropathy Specificity Recent Coding Clinic guidance emphasizes the importance of capturing the specific type of neuropathy when documentation supports it: polyneuropathy (E11.42), autonomic neuropathy (E11.43), mononeuropathy (E11.41), or amyotrophy (E11.44)

However, the amount of cobalt found in edible vitamin B12 sources isn't high enough to cause a reaction, with rare exception

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The right choice depends on the patients needs and how they react to treatment

The goal is not simply just to manage the pain