Since being diagnosed we are using clumping
Since we ship the B12 in powder form, needle-free, it isnt classified as over-the-counter medicine, and thus can be shipped anywhere without problems
For CY 2023, we assigned HCPCS code C9779 to APC 5303 (Level 3 Upper GI Procedures) after receiving public comments that stated that the ESD procedure's resource requirements and geometric mean cost were more similar to the resource requirements and geometric mean costs of procedures found in APC 5303
Because I know that this journey can feel overwhelming at times, I wrote my book Hashimotos Protocol to offer a clear, step-by-step path to identify your own root cause(s) and heal your own symptoms
Mild cases often feel quicker improvement later
I would respectfully ask if the B12 test could be repeated, I have learned here that B12 supplementing can alter folate levels so I wonder if your folate level being considerably above the high end of the range has masked your B12 deficiency and affected your B12 levels