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Not swallowing vitamins or chewing chalky ones

Usually mild and improves over the first few weeks

If you do consider this approach, start with minimal doses of each and assess your response before increasing

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Spot the usual PA suspects As a rule of thumb, if a service is pricey, ongoing, or ordered by a specialist, plan on requesting a PA: High-cost imaging: MRI, CT, PET Elective surgeries: tonsillectomy, joint replacement, bariatric procedures Therapy past routine limits: mental-health counseling, speech, PT, OT Durable medical equipment (DME): power wheelchairs, hospital beds Ongoing home-health or skilled-nursing visits Quick example: Your patient with chronic knee pain clearly needs an MRI