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Medically reviewed by Veronica Hackethal | MD, MSc , Harvard University | University of Oxford | Columbia Vagelos College of Physicians and Surgeons on April 20th, 2026

History of Pancreatitis, Severe Gastrointestinal Disease, or taking some other medication

Codes reflect CY2026 CPT (American Medical Association)

Wasting 30 mg of a 60 mg vial because it expired before you could use it is worse than buying two 15 mg vials and using them completely

You might also face difficulties getting the B12 you need if you have Celiac disease or Crohns disease, or if you are vegetarian or vegan

Hopefully a name change helps more practitioners to do the same in the future with a targeted approach to IMO treatment