Not everyone benefits from split dosing, and single morning administration works well for many users
Some studies have even found probiotics may help people with ulcerative colitis remain in remission
Self-administered B12 shots are generally recommended for individuals: whose bloodwork has documented low B12 levels Patients with pernicious anemia or a lack of intrinsic factor Individuals with Crohn's disease, celiac disease, or post-bariatric surgery malabsorption Vegans and strict vegetarians are unable to correct the deficiency through diet Older adults whose stomach acid production has declined with age Anyone on long-term metformin or proton pump inhibitors Across most of the U.S., injectable B12 is not sold over the counter a clinician has to write the script before a pharmacy can dispense it
Ventrogluteal Site The ventrogluteal site is located on the side of the hip and targets the gluteus medius muscle
For HOPPS rate setting purposes, CMS should treat 77402, 77407, and 77412 as new codes. Several commenters suggested alternative APC assignments, recommending that CPT code 77407 be reassigned from APC 5622 to APC 5623 (Level 3 Radiation Therapy), which has a CY 2026 proposed payment rate of around $600
