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It can also raise blood calcium levels, which can lead to organ damage (21)

Vitamin B12 is essential for making red blood cells, supporting nerve function, and producing DNA

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This could affect people taking thyroid medications

This change has an effect of reducing premium rates in 2026 by approximately 3% for our Merged Market members. Blue Cross Blue Shield of Massachusetts (Massachusetts) Beyond GLP-1s, other high-cost specialty drugs like biologics and gene therapies are also increasingly prevalent and are contributing to rising premiums in 2026