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The body stores Vitamin B12 readily, so maintenance may not be necessary or requested by patients for several months at a time

Monitor your state Medicaid program's preferred drug list for updates on whether Medicaid covers weight loss shots

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Although dryness (sicca) of the eyes and mouth are the classically described features, dryness of other mucosal surfaces and systemic manifestations, including fatigue and arthralgia, are common ( Digestive involvement is frequent in pSS, including autoimmune disorders, such as chronic atrophic gastritis, esophageal motility dysfunction, lymphocytic colitis, primary biliary cholangitis and autoimmune hepatitis ( pSS-related atrophic gastritis and associated PA may require parenteral or sublingual vitamin B12 supplementation (2)

Unless you have a diagnosed vitamin or mineral deficiency, nutritional needs are best met with food, not supplements