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While B12 is essential and generally safe in appropriate doses, problems can arise when its taken in excess or combined with certain medications, especially if kidney function is already compromised

Direct Supervision Via Use of Two-Way Audio/Video Communications Technology Under Medicare Part B, certain types of services, including diagnostic tests described under 410.32 and services incident to a physician's (or other practitioner's) professional service described under 410.26 (incident-to services), are required to be furnished under specific minimum levels of supervision by a physician or other practitioner

I would have to agree to disagree there but howsoever

In preclinical research, this combination is investigated for its potential synergistic effects on tissue healing and recovery