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We get vitamin B12 from the food we eat - it can be found in meat (esp organ meat - liver), fish, shellfish, dairy products, eggs, some fortified breakfast cereals, and fermented foods

Some clinicians prefer to use a methylmalonic acid (MMA) test in place of a homocysteine test, but MMA is also a non-specific biomarker

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Some commenters also pointed out that assigning CPT code 61891 to APC 5465 is consistent with the APC assignment for the predecessor CPT code 61886Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling

It should be kept at room temperature, typically between 15C and 30C (59F and 86F), and should not be frozen