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The following protocol was designed to compare the effectiveness of orally and intramuscularly administered vitamin B12 in the treatment of patients 65 years of age with vitamin B12 deficiency

Continue as a Guest Directions Of Use Dose Rate: Lambs: 0.5 mL at marking or weaning Sheep: 1.0 1.5 mL pre lambing Calves: 2 3 mL from 2 months of age Cows: 4 6 mL pre calving Application: Give dose by subcutaneous injection only

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Successful appeals require: A Letter of Medical Necessity from the prescribing provider that specifically addresses why tirzepatide is medically necessary for this patient, why alternative treatments are inadequate, and how the patient meets the payer clinical criteria
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But injectable B12 might be needed for severe cases or when absorption is a problem
