regence blue shield policy on b12 injections BlueCross BlueShield of Oregon Individual Group Number: 37000201 2024 Medical Benefits Six Tier Drug List

You may be at risk if you: Are in the elderly age group Follow a vegetarian or vegan diet Have had stomach or intestinal surgery Suffer from digestive issues like celiac disease or Crohns disease Take acid-lowering medications like PPIs or H2 blockers Take metformin for diabetes Are pregnant or breastfeeding Sources of Vitamin B12 B12 is mainly found in animal-based foods : Meat, poultry, fish (especially liver) Eggs and dairy (milk, cheese, curd, paneer) Fortified cereals and plant-based milk (almond or soy milk) Note: B12 is not naturally found in plant foods , so vegetarians need to ensure they get it from dairy or fortified foods

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Choline and methionine, both found in B complex injections, are considered lipotropic agents, meaning they help the liver process and remove fats

For those with a high out-of-pocket burden, we discuss dosing frequency adjustments to balance budget with effectiveness