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If the medical exception request or prior authorization is denied, you can appeal with the help of your healthcare provider

If you choose a diet which avoids animal products then you should supplement with B12 in order to access this vital nutrient

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It was also recommended that individuals classified as having subclinical deficiency be provided with empirical therapy with oral CNCbl 50 g daily for 4 weeks, and have their serum B 12 levels re-checked after 3 months (Devalia et al., Studies conducted by Palacios et al