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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

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Medicare does not cover Zepbound or any drug prescribed primarily for weight loss

However, the method requires the addition of radioactive cyanocobalamin to compete with vitamin B12 in the serum for the binding sites on an added cobalamin-binding protein

For example, tesamorelin product labeling explicitly instructs gentle swirling and "do not shake"