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Evidence: Systematic review shows B12 significantly improves diabetic neuropathy symptoms vs placebo (Hasan et al., 2019)

GHK-Cu + growth hormone peptides Best for : Anti-aging, body composition, comprehensive wellness Why they work together : Ipamorelin/CJC-1295 boost GH (muscle, fat loss, recovery) GHK-Cu improves skin, reduces inflammation Comprehensive anti-aging approach Protocol : Ipamorelin: 200mcg 2-3x daily CJC-1295: 2mg twice weekly GHK-Cu: 2mg daily Duration: 12-24 weeks Expected results : Improved body composition + skin quality + reduced inflammation + better recovery Cost : $600-900 for 12-week protocol Read about best peptides for muscle growth

Comment: A commenter requested that, since CPT code 98977 has limited OPPS cost-reporting, CMS should utilize the more frequently reported cost-reporting for CPT code 99454 to inform the PFS valuation for CPT codes 98985 and 98977

Combined with high pricing for the value and no supportive add-ons such as coaching or nutrition guidance, its easy to feel frustrated and underserved