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Overuse of stimulants : Excessive use of stimulants like caffeine can exacerbate HPA axis dysfunction, while smoking and alcohol can worsen inflammation, interfere with sleep, and have other negative effects

## **Applicable modifiers** Modifiers may be required when billing for HCPCS code A9575 to clarify how the drug was used and ensure compliance with Medicare and payer-specific policies

For example, some patients may need a medication in liquid form when the FDA-approved drug comes in a pill

Intravenous administration is not advised due to potential adverse effects

The best you can do is have an open conversation with your provider, considering the minimal potential risks against your own comfort and needs when discussing your medication options