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Certain Medications Long-term use of medications such as metformin (for diabetes) and proton pump inhibitors or antacids (for acid reflux) can interfere with vitamin B12 absorption over time

Bloodwork may be recommended to confirm

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The 2026 Medicare payment reflects the CMS CY2026 Physician Fee Schedule Final Rule (CMS-1832-F), which established the updated conversion factor and RVU values effective January 1, 2026

Low levels of B12 can affect neurotransmitters, such as serotonin and dopamine, which help regulate mood