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I had similar issues, though not as drastic as yours

Metabolism and Weight Management: B12 injections can aid in weight management by supporting energy production and metabolism

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When Youre Likely to Be Covered To summarize, Medicare is more likely to cover your vitamin B12 injections under the following circumstances: You have a condition such as pernicious anemia Your healthcare provider considers the treatment medically necessary The injection is administered in a certified outpatient setting (Part B) You are enrolled in a Medicare Advantage plan that includes this benefit You are in a skilled nursing facility and it is part of your care plan (Part A) Always review your plans list of covered medications or formulary and inquire about any documentation or referral requirements