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The price of MIC B12 injections can vary widely, with some estimates ranging from $35 to $75 per shot

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Other medical reasons for pausing treatment include severe gastrointestinal adverse effects that don't improve with dose reduction or supportive measures, acute kidney injury related to dehydration from gastrointestinal side effects, severe hypoglycemia (particularly when combined with insulin or sulfonylureas), and worsening diabetic retinopathy

Once that happens: Submit a formulary exception request