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The connection likely relates to epitalon's effects on pineal function and circadian regulation, both of which become disrupted during the menopausal transition

Common ICD-10-CM Codes under D53: 0 Protein deficiency anemia 1 Other megaloblastic anemias, not elsewhere classified 2 Scurvy-related anemia 9 Nutritional anemia, unspecified Clinical Considerations: These anemias are less common but may appear in patients with: Severe malnutrition Chronic illness Malabsorption syndromes Detailed physician documentation is critical to avoid defaulting to unspecified codes

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Three things compound this significantly

Typically, you can start to feel the positive effects of the IM shot, between 24 - 72 hours post injection, dependent of current levels of B12 in the body