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The IV injection is not inherent to the CPT codes for abdominal ultrasound, so the contrast injection should be separately reported with code 96374, which represents an initial IV push

It would also help explain a clinical observation discussed later: the gastrointestinal side effects associated with amylin analogs (nausea, early fullness) tend to be most pronounced during dose escalation and to ease with continued treatment, a pattern consistent with partial adaptation of the very gastric mechanism in question

In topical studies, side effects are minimal and usually limited to mild skin irritation in sensitive individuals

Switching brands while maintaining the same peptide may resolve irritation