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People with Absorption Issues: Conditions like Crohns disease, celiac disease, or those whove had gastrointestinal surgery may struggle to absorb B12 efficiently through diet alone

however, we believe this level of specificity is unnecessarily burdensome for an ASC payment system that is less than one-tenth the size of the OPPS (in which the weight scalar is rounded to the nearest ten-thousandth)

For those over 65, doses of 500 mcg to 1000 mcg daily are often suggested to keep B12 levels right