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The daily approved amount of vitamin B12 is not anticipated to cause major fetal harm or miscarriage

The effective potency could be a fraction of what the label states

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Oral supplements must pass through the digestive system, which limits absorption

Patient encounter is for a planned/scheduled minor procedure with no other, significant problems addressed. Patient encounter is for a preventive service and there is no significant abnormality found that needs to be addressed within the components of a separate E/M office visit.