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In the grey market, thats not a requirement to be sent to us, said Mary Thanh Hai, director of the Office of New Drugs

In many cases, insurance may cover B12 shots if medically necessary

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Moreover, certain medications, including metformin, proton pump inhibitors, and antacids may also reduce your bodys ability to absorb vitamin B12 from your diet (1, summary Vitamin B12 deficiency can manifest itself through a variety of symptoms

It becomes harder to absorb vitamin B12 from food as we grow older