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One of the possible reasons that anaemia is much less prominent in B12 deficiency than lets say 30 years ago, is that many countries have started mandatory fortification of food with folate

Patients may also choose to have their prescription sent to a local pharmacy through LSH, but pricing and availability can vary by pharmacy

The distinction matters enormously

Since off-label uses are generally not covered by Medicare, Marks B12 shots were not covered, and he had to pay for them out of pocket