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Helps reduce fatigue for those low in vitamin B12 levels(a)

[5] The American Heart Association's 2022 policy statement on insurance barriers to DOAC access notes that "prior authorization processes that delay or deny clinically indicated anticoagulant therapy may contribute to adverse patient outcomes including stroke," a statement that can be included in appeal letters

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Within 3 to 4 weeks at each dose, fatigue typically resolves or becomes minimal

Possible side effects may include headaches, insomnia and vivid dreams