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we dont typically discuss it here since it is paid by our patients, but in a public comment CMS stated why, and it succinctly illustrates the problems CMS has with continually rising drug prices

[18] Some proponents claim B12 injections enhance metabolism and promote fat loss by increasing energy levels, thereby encouraging greater physical activity and caloric expenditure

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doi: 10.1038/s41563-019-0462-9

Bacteriostatic Water is a sterile, non-pyrogenic solution containing 0.9% benzyl alcohol, designed for the safe dilution or reconstitution of medications before injection