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The Journal of Neuropsychiatry and Clinical Neurosciences 18(2):141145

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It found that B12 deficiency was higher in vegans than vegetarians and that vegetarians report B12 deficiency irrespective of their demography, where they live, their age, and the type of vegetarian diet they eat

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Some have looked outside the PBM entirely, partnering with direct-to-patient programs and offering access through there, rather than covering it through their PBMs, sclafani adds, noting employers now have "upward of twenty various types of direct-to-employer and direct-to-patient programs" to choose from