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Children: L-carnitine is often recommended for optimal fat metabolism
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The most common ones are gastrointestinal, such as nausea, vomiting, diarrhea, or constipation
Fix: Only bill a separate E/M service when the documentation supports distinct medical decision-making beyond "patient here for injection." Dose adjustments, side effect management, and review of treatment progress all support a separate E/M service, but they must be documented
In addition, post-treatment conception windows are heterogeneous, and the timing of treatment discontinuation relative to conception attempts is rarely standardized
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