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Some plans cover B12 injections only for the same diagnoses Medicare covers, such as pernicious anemia or documented deficiency, while others have broader or narrower lists

Self-insured plans offered by larger employers and administered by Blue Cross may be influenced by the policy change but have more flexibility since they pay their own claims

However, there are many other herbal supplements containing ingredients that can be potentially harmful, such as ephedra, which was widely available in the U.S

Follow-up labs at 4 weeks and 8 weeks are standard practice, then every 36 months once stable