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The comparison can be seen more clearly in the table below

Maintain a balanced diet with high-nutrition, potassium-rich foods that produce red blood cells, such as bananas and sweet potatoes

Medical Conditions: Conditions like atrophic gastritis, pernicious anemia, and celiac disease can affect B12 absorption

Because its a water-soluble vitamin, any excess that isnt used should be flushed from the body and not pose too much risk (not the case with fat-soluble vitamins like vitamin A)

Instead, analyses of two casual urine samples to correct for variability in the MMA concentration in urine can be used

CMS responded with a Medicare Learning Network compliance message issued February 12, 2026