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Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it

document HbA1c trend, insulin/oral agents, and complication stabilization or progression Chemotherapy-Induced Neuropathy (CIPN) Document the specific offending agent (taxane, platinum, vinca alkaloid, bortezomib, thalidomide) to code G62.0 with an appropriate adverse effect T-code

Angiogenesis Inhibitors Increasing adiposity is associated with expansion of the adipose capillary bed

My Strong Advice: Doctors must prescribe a clear strength, dose, and duration

This IV clears out toxins that can dull your skin with a powerful blend of anti-aging antioxidants, including Biotin, B vitamins, and Vitamin C

British Medical Journal