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Its uncommon because B12 is water-soluble, and excess amounts leave the body naturally

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For best handling, slowly add the bacteriostatic water down the inside wall of the vial rather than directly onto the powder

Per ICD-10-CM Official Guidelines I.C.4.a, the coder must assign the specific manifestation code: E1x.65 for hyperglycemia or E1x.64x for hypoglycemia

This is particularly common in athletes or individuals who engage in strenuous exercise without proper conditioning