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And other concurrent issues can mask progress: if your sleep is poor, your iron is low, your thyroid is off, or your testosterone is suboptimal, fixing B12 alone won't solve everything

Cardiovascular Events Patients with pre-existing heart conditions may be at higher risk of serious cardiovascular side effects if injections contain stimulants

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While this primarily impacts private insurance, it signifies a legislative intent towards broader access to menopause care, which could influence or align with Medicaids interpretation of medical necessity and formulary inclusions

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