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Under Novitas/First Coast LCD Article A56681, Medicare allows no more than 3 epidural injection sessions (6 injections) in any rolling 6-month period and no more than 6 sessions (12 injections) in any rolling 12-month period

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(The Demographics) Based on NPR investigation and online communities: Athletes (professional and amateur) Faster injury recovery Performance edge Willing to risk ban Biohackers and longevity seekers Anti-aging obsession "Optimize everything" mentality Follow influencers blindly Bodybuilders and fitness enthusiasts Muscle growth Fat loss Recovery between workouts People with chronic injuries Desperate for healing Failed conventional treatments Willing to try experimental options Gut health patients IBS, Crohn's, ulcerative colitis Leaky gut No FDA-approved options work Common thread: Desperation or optimization obsession, combined with aggressive online marketing

Testing may occur relatively soon after starting or changing treatment, while stable lower-risk patients may be monitored at longer intervals

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