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Typically, your doctor should bill Medicare for the cost of the injection, though you can choose to pay out-of-pocket

This is why B12 deficiency can occur in isolation, rather than alongside other B vitamin deficiencies, and why focusing only on dietary intake can overlook the root cause

Diagnosis typically also includes a thorough lifestyle assessment, stress history, and symptoms, allowing a tailored treatment approach that considers biological and environmental factors impacting adrenal function

Some people develop an autoimmune condition called pernicious anemia, which prevents the body from making a protein essential for absorbing vitamin B12