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Yes, D64.9 is a billable ICD-10-CM code, but it is unspecified

Importantly, with time the majority of relapse-onset patients will transition to a clinically progressive course [known as secondary progressive MS (SPMS)] characterized by cytodegeneration, while the inflammatory component wanes with age (Compston and Coles, 2008)

At this concentration, a 4mg dose requires a full 2mL injection, which is uncomfortably large and will likely hurt at the injection site

Continue to focus on a balanced diet, regular exercise, adequate sleep, and stress management as the cornerstones of your health

Griffiths, 2008

Oral supplementation has shown effectiveness but may not match the efficacy of IM in certain scenarios