People with Digestive Issues : Individuals with digestive conditions such as Crohns disease, celiac disease, or irritable bowel syndrome (IBS) may have difficulty absorbing B12 from food
Body weight does not determine dose
Do not use if you, or a family member, have a history of thyroid cancer or tumors
That prior authorization almost always requires: a BMI of 30+ (or 27+ with a condition like Type 2 diabetes, high blood pressure, or high cholesterol), proof you're in a structured weight-management program, and, at the 6-month renewal, documented weight loss of at least 5%
And yet, they miss what a simple test (although not standard) could have revealed- lp(a) is high, fasting insulin is high, HOMA-IR is high - all while they have normal A1c or close to normal LDL
And this matters more than many people initially appreciate