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Providers bear responsibility for documenting medical necessity regardless of formal coverage policy

Healthcare providers may use several tests, including: Complete blood count (CBC) Peripheral smear (PS) Serum vitamin B12 levels Serum folate levels Methylmalonic acid (MMA) testing Homocysteine testing Both low folate and low vitamin B12 may contribute to macrocytic anemia, a condition characterized by unusually large red blood cells

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Consuming foods that have been fortified with vitamin B12 or taking vitamin B12 supplements is recommended for vegans and vegetarians who want to ensure they get an adequate amount of the nutrient