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In addition, excess vitamin B12 that is not absorbed in the intestine can change the gut microbiome composition and may cause an overgrowth of intestinal bacteria

Enteral nutrition is covered under Medicare Part B as a DME benefit when the patient has a permanent impairment of the alimentary tract (not simply malnutrition alone underlying functional impairment is required)

This may help prevent neuropathy or delay its onset

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For some people, it might mean losing weight if they need to