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Healthcare practitioners classify trigeminal neuralgia based on the specific cause: Primary (classic) TN: It occurs when a blood vessel (typically the superior cerebellar artery) compresses part of the trigeminal nerve root

Metformin, widely prescribed for type 2 diabetes, can impair B12 absorption through effects on calcium-dependent ileal uptake

Nasseri takes a personalized approach for every patient, carefully reviewing your medical history and symptoms before recommending B12 therapy

These shots are typically given right into a muscle, like your upper arm or thigh

For a first pain management consultation and 64483 injection on the same date, the new patient E/M (99202-99205) is separately billable when documentation clearly supports both services as distinct and medically necessary, with MDM or time-based documentation per the 2021 guidelines