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True inconsistency (some days fasted, some days not) requires behavior change rather than timing change

For this you must consult your own GP

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According to new CPT coding guidelines, when more than one FNA biopsy is performed on separate lesions, during the same session on the same day, utilizing the same imaging modality, only one base code may be assigned along with the add-on code for the second and subsequent lesion(s)

Any disruption along this pathway can lead to deficiency regardless of dietary intake, which is why some patients need supplementation even when they eat B12-rich foods