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Enteral nutrition is covered under Medicare Part B as a DME benefit when the patient has a permanent impairment of the alimentary tract (not simply malnutrition alone underlying functional impairment is required)

In addition, excess vitamin B12 that is not absorbed in the intestine can change the gut microbiome composition and may cause an overgrowth of intestinal bacteria

This may help prevent neuropathy or delay its onset

GPs normally give these every 12 weeks, but the effects wear off before this and as a result the patient is left feeling sluggish and run down

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A total of 85 patients in the placebo, pemetrexed, and chemotherapy arm received an anti-PD-1/PD-L1 monoclonal antibody at the time of disease progression