NNMT is a metabolic enzyme widely distributed in the cytoplasm of human cells
A blood test should be sought to determine if the problem is dietary or autoimmune
A vegetarian diet which contains no animal products (including milk products or eggs) does not supply any vitamin B 12
When Youre Likely to Be Covered To summarize, Medicare is more likely to cover your vitamin B12 injections under the following circumstances: You have a condition such as pernicious anemia Your healthcare provider considers the treatment medically necessary The injection is administered in a certified outpatient setting (Part B) You are enrolled in a Medicare Advantage plan that includes this benefit You are in a skilled nursing facility and it is part of your care plan (Part A) Always review your plans list of covered medications or formulary and inquire about any documentation or referral requirements
This is especially important for patients who have any GI-related problems: reflux/heartburn, SIBO/SIFO, chronic constipation, leaky gut, patients who are on acid blockers, etc
Step 3: Injection Get a quick and comfortable intramuscular shot usually taking under 5 minutes