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Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter

Mar 2021;165:105413

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Medicare and most payers require clear documentation of the dose administered, the week preceding the first dose (if applicable), and related CPT codes for injection administration

It's one of the most common same-day billing errors

However, watches and warnings were re-issued as Harvey began to re-emerge into the Gulf of Mexico, and beginning at 15:00 UTC on August 28, a tropical storm warning was in effect for the entire Gulf Coast of Texas from High Island northward