Food should always be the primary source of nutrition, but if someone feels they are not getting adequate amounts of B12or any other supplementfor any reason, they should discuss it with their physician.
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Addendum J to this final rule with comment period includes the cost statistics for each code combination that would qualify for a complexity adjustment (including primary code and add-on code combinations)
Endogenous causes (medical conditions) When B12 is elevated without supplementation , it can indicate that the body is releasing stored B12 from damaged tissues, producing excess B12-binding proteins, or failing to clear B12 normally
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