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An error in any one of those three elements can trigger an automatic claim denial before a human reviewer ever sees the claim

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Stomach acids, crucial for food breakdown, also break down these supplements, allowing only a fraction of B-12 to be absorbed by the body

The human body cannot produce vitamin B12

If nausea persists beyond 10 to 14 days, talk to your prescriber about holding at 0.5 mg for an extra 2 to 4 weeks before increasing further

or you may take a spray bottle home