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While this idea is somewhat simplified, its intriguing His hypothesis suggests that the sudden influx of B12 can kickstart repair processes, and if there has been long-standing damage, the rapid onset of these processes might overwhelm the system, causing a temporary worsening of symptoms

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"While not all CVS Caremark plans are impacted, weve made robust efforts to proactively communicate with many of the patients who may be affected and provided clear next steps through our support programs," Lilly said in a statement, adding that the company is encouraging patients to speak with their healthcare providers about medical necessity exceptions or alternative coverage pathways