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Your out-of-pocket cost after insurance is $500+/month Compounded cost is $250-400/month Insurance "coverage" costs more than paying cash for compounded The math changes if your plan has low cost-sharing (Tier 3 with $50 copay) or if manufacturer copay cards are available and your plan doesn't have copay accumulators

Figure 2 4.1.1 FMT-SCFAs A growing body of evidence indicates that FMT exerts pivotal regulatory effects in various inflammatory and infection-related disease models by systemically reshaping gut microbial architecture and restoring SCFA-associated metabolic capacity

Because of this, I recommend any patient who is symptomatic and has suboptimal levels of vitamin B12 (as defined above) consider a trial of sublingual B12

You value a treatment with a stronger clinical track record

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