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Some chronic conditions require extended protocols or multiple cycles to see significant results

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Key examples: Diabetes + CKD = diabetic CKD (E11.22) no explicit caused by diabetes statement needed Diabetes + neuropathy = diabetic neuropathy (E11.4x) Diabetes + retinopathy = diabetic retinopathy (E11.3xx) Diabetes + periodontal disease = diabetic periodontal disease (E11.630) However, the provider must not document that the condition is NOT related to diabetes

In addition, these guidelines do not explicitly state whether this cut-off is expressed in NE base or salt formulation, an issue that is gaining in attention [14]