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Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy

Individuals with Lebers disease: A rare genetic condition that primarily affects the optic nerve, Lebers disease becomes more serious in people who take vitamin B12 supplements

That rule prevents billing cervical/thoracic codes and lumbar/sacral codes on the same date

Your provider reviews medical history, medications, pregnancy status, and other safety factors before prescribing

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