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It reduces circulating inflammatory cytokines like TNF-alpha and IL-6 and supports tissue repair broadly
According to CMS billing guidance (Medicare Article A57755), the primary covered indications are pernicious anemia, documented cobalamin deficiency with laboratory evidence, and malabsorption syndromes that prevent adequate oral B12 absorption
The difference in purity, dosing accuracy, and safety oversight is not a minor distinction
Professional standards without aggressive claims
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