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The best way is to look at your symptoms

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However, all FY 2023 and FY 2024 cases with admission dates after the PHE expiration date (that is, admissions occurring on or after May 12, 2023) that do not meet the criteria for exclusion from the site neutral payment rate will be paid the site neutral payment rate determined under 412.522(c)

Gastric or bariatric surgery : Patients who have undergone weight loss surgeries such as gastric or bariatric surgery may experience B12 deficiency due to the unavailability of intrinsic factor after gastric or intestinal resection