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This is how insurance companies make sure a particular drug is medically necessary for the patient before issuing coverage

People at risk of vitamin B12 deficiency can include those with: a family history of B12 anemia type 1 diabetes Crohns disease celiac disease HIV strict vegetarian or vegan diets all or part of the stomach removed chronic gastritis advanced age congenital disorders If you fit any of these categories or are concerned about your nutrition, talk with your doctor about your vitamin B12 intake and whether you may be at risk for developing a deficiency

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They have the knowledge and expertise to assess your overall health condition, review your medical history, and determine whether using both treatments is safe and appropriate for you