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Being a vegetarian or vegan : This group consumes less foods that are naturally high in vitamin B12, such as beef and poultry (and sometimes dairy and fish too), which means their intake of vitamin B12 is lower whether their absorption is adequate or not

Many UMR plans also require prior authorization for certain medications (especially newer or more expensive drugs)

Potential effects include injectionsite irritation, fluid retention, joint aches, tingling, changes in blood sugar or lipids, and shifts in IGF1

Ivko OM, Drobintseva AO, Leonteva DO, Kvetnoy IM, Polyakova VO, Linkova NS

Ufnalska I, Drew SC, Zhukov I, Szutkowski K, Wawrzyniak UE, Wroblewski W, et al