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These changes can make it harder to absorb and use this important nutrient

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In addition, section 1833(t)(2)(B) of the Act provides that the Secretary may establish groups of covered OPD services within this classification system, so that services classified within each group are comparable clinically and with respect to the use of resources

Pancreatic Insufficiency: The pancreas helps with B12 absorption, and not enough of it can cause deficiency

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individuals with conditions affecting B12 absorption (such as pernicious anaemia, Crohn's disease, or coeliac disease)