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My own GP said his tuition on the subject lasted around half an hour

Just like when you stub your toe and the blood rushes to that area, the same happens when you get a vaccine
However, when the surgeon's surgical plan includes planned procedures, then special rules apply (i.e., modifier -58)

My doctor prescribed a super super high dose as I am now aware (was on the 5000 mcg Methylcobalamin (Methyl B-12) and was advised to take one every day