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This distinction matters not because B12 injections are inherently dangerous, but because the systems surrounding the injection determine how quickly and effectively a provider can respond if something unexpected occurs

Pregnancy and lactation : Fetal development and breastmilk B12 content require higher maternal intake

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If your physician establishes the medical necessity, Medicare may cover injections on a weekly, biweekly, or monthly basis, provided that your condition necessitates ongoing treatment