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The CY 2026 Dual Conversion Factor and the -2.5 Percent Efficiency Adjustment Per CMS CY 2026 Physician Fee Schedule Final Rule CMS-1832-F effective January 1, 2026, the Physician Fee Schedule now uses two separate conversion factors
Post-bariatric surgery patients Surgical alteration of the stomach or small intestine reduces the absorptive surface area for B12
Less Commonly Reported Effects Headache, light-headedness, vivid dreams (often attributed to BPC-157), and brief appetite changes are reported less frequently
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