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Silverstein said he decided to investigate the over-prescribing of B12 shots, because "as an internal medicine resident, I have seen many patients come into the emergency department, and they were getting B12 injections without having a really good reason for it." His study could not determine why family physicians were prescribing it inappropriately including whether it was initiated by the doctor or at the request of the patient

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Medicare does not cover private hospital care, ambulance services, or other outside hospital services such as dentistry

The presence of B12 deficiency itself may indicate an underlying digestive disorder that requires specific investigation and management

If you are comfortable with higher concentrations and have steady hands with a syringe, the 10mg vial offers better value per milligram

However, there is no established direct causal link between vitamin B12 and joint pain in the medical literature