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Providers should verify contracted rates with individual MA plans as some reimburse below standard Medicare levels

However, because sermorelin typically comes in a lyophilized (freeze-dried) powder form, it must be properly reconstituted with bacteriostatic water before use

Sterile water should only replace bacteriostatic water if the entire volume is being utilized in a single, immediate application

It is essential that clinical trials can be developed to effectively compare these routes of administration and that clinicians can share their experiences with these modalities of B12 administration so that they can be popularised and considered as viable alternatives for patients