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If an injury caused the pain, we may add an external cause code

To spare the legal explanation, it is technically acceptable for a doctor to prescribe non-FDA-approved drugs if certain precautions are met [4]: After review, if the [doctor] decides that there is sound medical evidence and it is in the patients best interest to use a non-FDA approved device, he or she should conduct and document a thorough and careful informed consent discussion

(PubMed) Bensky MJ, Ayalon-Dangur I, Ayalon-Dangur R, et al

Clean cotton balls or gauze pads should be applied to the injection site after the needle is withdrawn at the same angle that it was inserted

Adding NAD+ directly is the most literal way to top up the tank

Linarelli, L