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Chemotherapy with drugs like 5-fluorouracil has also been associated with acute thiamine deficiency by disrupting thiamine activation, so oncology patients receiving such therapy might receive parenteral thiamine supplementation as part of this B-Complex if needed

Any stack involving multiple experimental compounds increases the unknowns around safety and interactions

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Drug administration is billed separately using the appropriate HCPCS J-codes (e.g., J2920 for methylprednisolone, J3301 for triamcinolone) when the payer allows