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Who is more likely to have low B12 Vegetarians and vegans, since B12 comes mainly from animal foods Adults over 50, because absorption naturally declines with age People with gut conditions such as celiac, Crohn, or past GI surgery Long-term users of metformin or acid-reducing medications People who have had weight-loss (bariatric) surgery Those with heavy or frequent alcohol use If you see yourself in that list, a simple blood test is the logical next step

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Cyanocobalamin has its own specific code (J3420), and submitting J3490 instead will typically result in a claim denial or delay while the payer requests additional information