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It may benefit those with sterility, hypertension, and pernicious anemia, as well as the endocrine system and nervous system (9092)

Mecobalamin should be used with caution in individuals with a history of heart disease, particularly if they are at risk for arrhythmias, as large doses may cause changes in heart rhythm

96372 | E53.8 | B12 injection administration J3420-JW | E53.8 | Cyanocobalamin, 500 mcg wasted portion Per the CMS Medicare Claims Processing Manual , failure to append JW or JZ on a Medicare drug claim results in denial of the waste reimbursement line

Anemia can cause fatigue and weakness from a B12 deficiency