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Herbal preparations that affect blood glucose levels, such as ginseng, fenugreek, or bitter melon, may have additive glucose-lowering effects when combined with semaglutide, potentially increasing the risk of hypoglycemia particularly in patients receiving other antidiabetic medications

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- Acceptable ICD-10-CM diagnosis codes include conditions such as D51.x (B-12 deficiency anemias), K90.x (malabsorption syndromes), or G32.0 (subacute combined degeneration of the spinal cord) as listed in the LCD