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Vegans and Vegetarians Vegans are at the highest risk of B12 deficiency because they consume no animal products

Additional E11 codes may be appropriate depending on the patient clinical picture: E11.21 - Type 2 diabetes mellitus with diabetic nephropathy E11.36 - Type 2 diabetes mellitus with diabetic cataract E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Listing all applicable diabetes complication codes strengthens the medical necessity case and helps justify tirzepatide over less expensive alternatives

The frequency of B12 injections can vary depending on your individual needs and health goals

For leaner areas or very thin individuals, a 45-degree angle prevents penetrating through the fat layer into muscle