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Individualized protocols based on personal response optimize the balance between effectiveness and tolerability

In the CY 2024 OPPS/ASC final rule with comment period, we extended this 5-year interim period an additional 2 years through CYs 2024 and 2025

Vitamin B12 Injections Intramuscular injections are the standard treatment Initial loading phase followed by maintenance doses Often required for life Oral Vitamin B12 High-dose oral supplementation may be effective in some patients Suitable for those who cannot tolerate injections Monitoring Regular blood tests Neurological assessment Monitoring response to therapy Most patients experience rapid improvement in symptoms after starting treatment

Dosing errors waste money and reduce results

Doctors estimate 1.5% to 15% of people have vitamin B12 deficiency

More injecting advice can be found at our Nurses Corner and our FAQ