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This deficiency can be caused by poor dietary consumption, a breakdown in the digestive process, or from taking certain medications that make it difficult to absorb B12 (such as antacids)

of this final rule with comment period to calculate the costs we used to establish the final relative payment weights used in calculating the OPPS payment rates for CY 2026 shown in Addenda A and B to this final rule with comment period (which are available via the internet on the CMS website at )

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B12 is water-soluble and eliminated rapidly consistent supplementation prevents the deficiency that would undermine your energy and metabolism goals

If this complication occurs and the diagnosis of sepsis is confirmed, appropriate antimicrobial therapy should be instituted

Safety and Considerations Generally well tolerated , with minimal side effects when administered properly