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Older adults : Older adults are more prone to developing vitamin B12 deficiency because stomach acid and intrinsic factor production naturally decline with age

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Supplies Needed Plan based on an 816 week combined protocol with the schedules above

The 2026 NCCI Rule: Do Not Mix the Two Code Families Per the CMS NCCI Policy Manual effective January 1, 2026, immunization administration for vaccines other than flu, pneumococcal, or hepatitis B must use one code family per date of service

doi: 10.1001/archinte.159.4.407