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Methylcobalamin acts as a powerful neuroprotective agent by upregulating the lipid synthesis of Schwann cells, the specialized glial cells responsible for producing myelin in the peripheral nervous system

1), which is further supported by unaltered mRNA levels of inflammatory genes TNF, IL-6 and IL-1 (supplementary Fig

Since the Injection procedure does not include the components of a Preventive Medicine E/M service, the Injection can be reported separately and the Preventive Medicine E/M code does not need a modifier to indicate it is distinct or separate from the Injection procedure

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