8 It may also help bones heal faster by improving blood supply and cellular activity at the site of the fracture
Equipment Needed Syringe: 2 ml Needle: Blue, 23 gauge / 1.25 inches (30 mm) Kenalog 40: 20 mg Lidocaine: 1.5 ml, 2% Total volume: 2 ml Achilles Tendon Injection Technique Patient lies prone, with foot held in dorsiflexion over end of the bed
Missing Medical Necessity The diagnosis should clearly justify the injection
How to supplement when B12 tests are high Be sure you remove all sources of synthetic cyanocobalamin from your diet (supplements & fortified foods) Consider supplementing with iodine, selenium, and molybdenum which helps activate B2 (a B12 transport helper) Consider supplementing with an active B2 form (Riboflavin-5-Phosphate) - a B12 transport cofactor Consider taking intrinsic factor which helps the gut better absorb B12 Consider pulsing 4.5 mg of lithium orotate (2-3x per week) - helps the B12 transport Only supplement with bioidentical active B12 forms - hydroxocobalamin, methylcobalamin, adenosylcobalamin I know my specific COMT & VDR Taq gene details
Simple things became difficult
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