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Now here is the nuance that most articles miss

Further guidance on assessment and management of B12 deficiency is available via NICE Clinical Knowledge Summary (CKS): Anaemia B12 and folate deficiency

If your Part D plan does not cover B12 shots, you may request consideration under the plans utilization management program

The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis

It is recommended to take high-dose supplements for better absorption if you have severe deficiency symptoms

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