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PMC 8001893

Despite its availability in food, some individuals struggle to maintain sufficient B12 levels due to dietary restrictions, medical conditions, or absorption issues

Therefore, you will need ongoing top-ups to stay healthy

Injections require medical supervision, carry more logistical complexity, and cost significantly more than oral options over time

A serum cobalamin level is sometimes requested approximately 1 month after the initial injectable dose and dosing may be adjusted if levels are still low

Medicare and Medicaid readily cover B12 injections when supported by laboratory documentation and D51.0 diagnosis