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Document evidence : Include specific symptoms that support your diagnostic code Note severity : Include qualitative and quantitative measures of severity Update regularly : Revise coding as the clinical picture evolves Remember that many insurance providers, including Medicaid services, require specific documentation to support alcohol use disorder diagnoses, particularly for higher levels of care

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This can cause methyl trapping, where the excess methylfolate is unable to be utilised in the methionine cycle (through the MTR enzyme) as usable B12 levels are too low

& Gerson, L

As with water filters, unmaintained softeners can have adverse effects on drinking water