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Taking a proton pump inhibitor or other medications that reduce stomach acid for reflux or ulcers, as well as taking metformin for diabetes, can reduce absorption of B12 in food or supplements

These aren't just arbitrary rules

Almost everyone has had this reaction

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We stated in the CY 2026 OPPS/ASC proposed rule that it was unclear to us whether the aprevo Cervical ACDF system and the aprevo Cervical ACDF-X system (with and without CAM) are different devices such that they should be evaluated separately for OPPS pass-through payment status