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One broadly supportive commenter suggested CMS examine measure(s) that would better capture both maintenance and improvement in functional status
Liver Disease Cancer What is the quickest, most effective way to correct a Vitamin B12 deficiency

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Clinics offering B12 shots will typically review your medical history and may run blood tests to tailor your treatment plan

(PubMed) Lowering blood homocysteine with folic acid based supplements: meta-analysis of randomised trials

The HbA1c test measures glycated haemoglobin over two to three months and relies on normal red blood cell turnover a process directly disrupted by vitamin B12 deficiency
