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Because people who have difficulty absorbing vitamin B12 from food absorb free vitamin B12 normally, their vitamin B12 deficiency tends to be less severe than that of individuals with pernicious anemia, who cannot absorb either food-bound or free vitamin B12

(2) of this final rule with comment period for discussion of the remittance data we are requiring hospitals to use to determine the count of allowed amounts

People with gastrointestinal problems also run the risk of becoming B12 deficient as they are not able to absorb B12 from food