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National Library of Medicine: Pub Chem, L-Selenomethionine

1.4 Glucocorticoid-Induced Osteoporosis Reclast is indicated for the treatment and prevention of glucocorticoid-induced osteoporosis in men and women who are either initiating or continuing systemic glucocorticoids in a daily dosage equivalent to 7.5 mg or greater of prednisone and who are expected to remain on glucocorticoids for at least 12 months [see Clinical Studies (14.4)]

This provides protection for about 4 to 6 hours

If someone has levels above 350nanograms/L, they are unlikely to have B12 deficiency

You can also verify this using the units to milligrams conversion guide or the 20 units conversion reference

Changing those payment rates to apply our proposed modified cost measure scoring policy would require extensive reprocessing of claims, which is not feasible