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Start with transdermal estrogen to avoid the absorption issue entirely

Compounded medications typically cost $189/mo month-to-month, or from $149/mo on the 6-month plan and bypass insurance entirely, allowing immediate access while appeals proceed

I wanted to feel like myself on my wedding day and in the life that followed, she says

When given by intramuscular injection, the dose bypasses the digestive tract and is absorbed reliably, which matters because dietary B12 absorption depends on stomach acid and a protein called intrinsic factor, both of which decline with age, medication and certain gut conditions

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