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According to Healthline, insurance may cover lipotropic injections in rare cases if you can demonstrate that you are using them to treat a documented medical condition, such as a vitamin B12 deficiency

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This hereditary condition impedes the ileum (the final section of the small intestine) from effectively binding and transporting cobalamin into the bloodstream

doi: 10.1093/brain/awab039 Summary Keywords Parkinsons disease, biomarkers, blood, cerebrospinal fluid, saliva, urine, tears, imaging Citation Li J, Zhang M, Yu C-Q, Xue M and Hu P-P (2025) Early diagnosis of Parkinsons disease: biomarker study