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Most insurance providers require Level 3 certification for coverage

While a B12 supplement may not cause harm, Dietary Guidelines for Americans, a government publication that provides nutrition advice to the public, recommends getting most nutrients primarily from food and beverages

For B12 to be absorbed properly, it must bind with a protein called "intrinsic factor," which is produced in the stomach

Using sterile water for multi-dose vials introduces contamination risk with every needle puncture

In contrast, bacteriostatic water contains 0.9% benzyl alcohol, which inhibits bacterial growth and allows multi-use for up to 28 days