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If your levels are already normal, adding more will not create extra energy your body cannot use

High-dose oral supplements (often 10002000 micrograms daily) or intramuscular injections (typically 1mg hydroxocobalamin) used to treat pernicious anaemia or deficiency states can temporarily elevate serum levels

Some BCBS plans and Medicaid managed care organizations do require it, so verify payer-specific requirements before submission

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