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Repeated temperature cycling should be avoided, as moisture condensation on cold vials can initiate hydrolysis of amide and disulfide bonds

Common dosages Most protocols fall in this range: Low dose: 150-250 mcg per day Standard dose: 250-500 mcg per day Higher dose: 500-750 mcg per day Some people split the dose into two injections per day

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As discussed in the CY 2025 OPPS/ASC proposed rule (89 FR 59201 through 59204), we generally treat all items and services reported on a C-APC claim as integral, ancillary, supportive, dependent, and adjunctive to the primary service and representing components of a comprehensive service

Lidocaine is sometimes used to treat ventricular arrhythmias if other treatment options are not available