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Exclusion of other potential causes, such as immune, metabolic, infectious, toxic, and neoplastic conditions, via auxiliary tests

The theory is that long-term use of semaglutide, particularly without a controlled diet, could lead to vitamin B12 deficiency due to the effects on gastric emptying

As per the Centers for Medicare & Medicaid Services (CMS), B12 injections may be covered if you have been diagnosed with: Pernicious anemia Specific gastrointestinal disorders that affect nutrient absorption (such as Crohns disease) A history of gastrointestinal surgery that disrupts nutrient absorption To qualify for coverage, your healthcare provider must adhere to specific documentation requirements

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