Most Blue plans list generic metformin at Tier 1 with $0$5 cost-share
Give yourself 15-20 minutes to fully absorb the benefits before gently peeling off or rinsing
By Chris Faubel, MD Indications Lateral Epicondylitis / Tennis Elbow ICD-9 code: 726.32 lateral epicondylitis ICD-10 codes: M77.11 lateral epicondylitis, right elbow M77.12 lateral epicondylitis, left elbow CPT code: 20551 Materials Needed Pen clicking type Gloves non-sterile Alcohol swabs (or iodine) Band-aid Tuberculin needle/syringe OR 1-ml syringe with 25-gauge 1.5 needle (depending on body habitus) Injectate: 0.5-ml of 6mg/ml of Celestone OR 0.5-ml of 40mg/ml Depo-Medrol or Kenalog 0.5-ml of 1% lidocaine Technique / Procedure Steps Always start with informed consent from the patient, and then a time-out to verify correct patient and injection site
The biological drive to regain weight is powerful and often overwhelms willpower-based approaches
Common Side Effects Most patients experience some nausea (usually mild, temporary, improves within 2-4 weeks), reduced appetite (this is therapeutic!), occasional digestive changes, and mild fatigue initially
