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B12 effects may last up to 12 weeks

Long-term metformin or proton pump inhibitor (PPI) users These medications can interfere with B12 absorption over time
People with a current COVID-19 infection should defer the vaccine until they have recovered from acute illness and can discontinue isolation

That means the reimbursement picture is not static, and your billing team should not guess the amount or reuse an old rate sheet
