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However, if you already have Medicare Advantage and want a new Medicare Advantage plan, or if you have Medigap but want to switch to Medicare Advantage, youll have to wait for one of three* Medicare Advantage enrollment periods: Annual Enrollment Period: October 15 December 7 of every year, applies to all Medicare beneficiaries, any change is allowed Special Enrollment Period: Applies only to those with specific circumstances, such as a special medical or financial need, and allows enrollments at specific times outside of AEP and OEP Open Enrollment Period: January 1 March 31 of every year, allows those with Medicare Advantage to make one switch to a different Medicare Advantage plan or drop coverage *The fourth Medicare Advantage enrollment period is when you first become eligible for Medicare and is called the Initial Enrollment Period

By sticking to these guidelines and watching how patients do, doctors can make treatments more effective

Once absorbed, it is converted to the active coenzyme formsmethylcobalamin and adenosylcobalaminas the body requires them

doi:10.1038/aja.2011.64

Lifestyle factors such as heavy smoking and drinking or a poor diet over a prolonged period can also lead to low B12 levels or deficiency