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The good news: All forms of B12 supplements are relatively safe and can help you sidestep symptoms of a deficiency

Carefully document your care Sometimes you may have to file multiple appeals if the first one is unsuccessful, says Tracy Zvenyach, the vice president for advocacy and research at the nonprofit Obesity Action Coalition, which receives financial support from drugmakers including Zepbound maker Eli Lilly and Wegovy producer Novo Nordisk

Topf is an assistant clinical professor of medicine at Oakland University William Beaumont School of Medicine, creator and host of the Freely Filtered and Channel Your Enthusiasm podcasts, creator of the Precious Bodily Fluids blog, and co-creator of NephMadness and NephJC