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B12 shots are also not recommended if you have a history of issues like leukemia, myeloma, or certain types of anemia not caused by B12 deficiency

See Medicare NCCI Policy Manual Chapter XI, effective January 1, 2026 for the primary authority

(Jahrami et al., 2022

As people age, their bodies often become less efficient at absorbing and metabolizing nutrients due to changes in gastrointestinal function, such as decreased stomach acid production or altered gut flora