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Psychiatry 55 , 4551 (2019)

Clinical features of slow transit constipation: Infrequent bowel movements (often 12 per week or less) Minimal urge to defecate Diffuse abdominal bloating and discomfort Confirmed by colonic transit studies (radio-opaque marker study or scintigraphy) Does not respond well to laxatives alone, often requires motility agents Documentation requirement: K59.01 should only be assigned when slow transit has been confirmed by objective transit studies (radio-opaque marker test, wireless capsule motility study, or colonic scintigraphy)

B12 Cyanobalamin B12 Cyanobalamin is especially helpful for patients with low dietary intake, absorption issues, or those seeking an extra boost in overall wellness

Hims states that new patients complete an asynchronous check-in (meaning no via phone or video) with their provider about 3060 days into treatment