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9 23 26 A recent Cochrane Review found that available studies only provide very low quality evidence that oral B 12 is as efficacious as intramuscular B 12 in improving symptoms

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preferred for hemodynamic instability, infection, or patient preference for speed Missed Abortion (O02.1) Surgical evacuation (CPT 59820 first trimester, 59821 second trimester) or misoprostol medical management Ultrasound confirmation of fetal demise required prior to treatment Genetic testing of products of conception may be performed to evaluate recurrent loss etiology Septic Abortion IV broad-spectrum antibiotics (see Medication section)