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One commenter supported the introduction of an add-on code, but was concerned about the impact it would have on overall PFS budget neutrality

Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12

All of the studies examined in these reviews were conducted in China, so extrapolation to Western patients and the methods used by Western acupuncture practitioners may not be reliable