Common signs of B12 deficiency include fatigue, weakness, pale skin, shortness of breath, numbness or tingling in the hands and feet, difficulty maintaining balance, and cognitive issues like memory problems
Most patients can self-administer the injections at home after receiving proper training from their healthcare provider
Apply HCPCS code J3420 (1 unit per 1000 mcg administered) and CPT 96372 for the injection administration
The dose stays fixed and the frequency tapers: daily for weeks 14, five times a week for weeks 58, then two to three times a week from week 9
It has even been found to be an effective treatment for carpal tunnel syndrome
The practical takeaway was that Hospira remained fairly stable for 0-90 days, but by 120 days the benzyl alcohol level had noticeably declined to around 0.71%, roughly a 25% reduction from baseline