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I also requested a medical necessity letter and had it in my inbox by the next morning

These pens never contain B12, glycine, niacinamide, or any other additive that would change the color

Folic acid can improve hematologic indices in B12 deficiency while allowing neurologic complications to progress, so proper diagnosis and targeted replacement are essential

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Patients who are also suffering from gastrointestinal disorders, such as small intestinal bacterial overgrowth (SIBO), Celiac or Crohns may not be absorbing Vitamin B12 optimally due to an underlying inflammatory load and unfavourable microbiome