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Tenth (10th) percentile allowed amount is defined as the 10th percentile of the total allowed amounts the hospital has historically received from a third-party payer for a time period no less than 12 months and no longer than 15 months prior to posting the machine-readable file

Metformin (for diabetes), proton pump inhibitors (such as omeprazole or esomeprazole), and H2 blockers (such as famotidine) can all reduce B12 absorption over time

(PubMed) Sharabi A, Cohen E, Sulkes J, Garty M

The way you answered my post made it sound as if you were questioning my reply when infact you are agreeing