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Ive also suffered an outbreak of acne following a course of 6 injections of B12 over 2 weeks

It may turn from red-purple to blue-gray over a few days, eventually leading to skin breakdown in 3-5 days

however, current Medicare claims data do not allow CMS to determine the average total allowed charges for such drug or biological product for a year per individual that uses such a drug or biological product or to identify units billed

* * * * * (3) * * * (ii) If the plan of treatment is established by a physical therapist, occupational therapist, or speech-language pathologist, the certification must be signed by a physician or by a nurse practitioner, clinical nurse specialist, or physician assistant who has knowledge of the case, except as specified in paragraph (c)(5) of this section

Some experts recommend these injections for weight loss, as vitamin B12 is linked to obesity