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To get insurance, patients need: A confirmed B12 deficiency diagnosis A doctors prescription Proof that they really need it Differences Between Prescription and OTC Options Prescription B12 tablets, often with cyanocobalamin, are different from OTC ones

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As the intervention is highly invasive, has considerable risks and cannot be reversed, surgery is not a viable option for most patients and mainly indicated in people who have a BMI of more than 40 kg/m 2 or of more than 35 kg/m 2 and at least one obesity-related comorbidity [7]

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doi: 10.1056/nejmoa1105816

Niwa Y, Kasama T, Miyachi Y, Kanoh T