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During lactation, the RDA is a bit higher (2.8 mcg), per the CDC, reflecting that a baby's B12 requirements increase rapidly

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Body weight, metabolic rate, specific goals, and individual response all influence what dose works best for you

This longstanding definition of when a procedure code is significant for purposes of the 2 times rule was selected because we believe that a subset of 1,000 or fewer claims is negligible within the set of approximately 100 million single procedure or single session claims we use for establishing costs