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Some breakfast cereals are also fortified with B12

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Evidence Summary: What the Studies Show Human clinical trials: Kuceki et al

Sleeve gastrectomy removes up to 80% of the stomach, significantly reducing parietal cells and intrinsic factor production needed for B12 absorption

For this test, a baseline blood sample followed by serial blood samples between 5 and 7h post oral administration of the 13 Ccyanocobalamin are required

Payers can request medical records to verify any vaccine administration claim, and missing documentation elements are a leading cause of post-payment recoupments