biotin and b12 injections REFERENCE 1) Biotin in the Treatment of Diffuse Hair Loss Vitamin & Nutrient Injections -

Conditions such as atrophic gastritis (thinning of the stomach lining), Pernicious anemia (which makes it harder for your body to absorb Vitamin B12), Intestinal diseases such as crohns disease, celiac disease, bacterial growth and immune system disorders such as Graves disease or lupus can lead to Vitamin B12 deficiency in the body

97 B12 requirements are increased during pregnancy

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Per CMS NCCI guidance , the combination creates a logical conflict that most payer systems flag automatically