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If homocysteine turns out to cause inflammation and therefore joint pain, then vitamin B12 supplementation would be a consideration

If youre unsure about picking a dose, though, get in touch with a healthcare pro to talk about what dose makes the most sense for you

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Dinh Tran, MD

The distinction between CPT 20605 (intermediate joints) and CPT 20610 (major joints) matters most for elbow, wrist, and ankle claims: the primary large articulations at these locations (tibiotalar, humeroulnar, and radiocarpal) qualify for CPT 20610, while smaller associated articulations at the same anatomical region qualify for CPT 20605

B12 shots are also not recommended if you have a history of issues like leukemia, myeloma, or certain types of anemia not caused by B12 deficiency