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We proposed changes to 42 CFR 414.402 to add lymphedema treatment items to the definition of items for competitive bidding, 414.408 to include lymphedema treatment items in the list of items for which payment would be made on a lump sum purchase basis under the competitive bidding program in accordance with any frequency limitations established under proposed subpart Q in accordance with section 1834(z)(2) of the Act, and 414.412 to add reference to the proposed subpart Q to the bid rules

Most side effects are reversible upon discontinuation of therapy, but serious reactions necessitate prompt evaluation and supportive care

The color comes entirely from vitamin B12

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every 2 months for those with neurological symptoms Oral supplementation (50150 micrograms daily) may be appropriate for dietary insufficiency in patients with normal absorption