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One longitudinal study in particular, which was based on adults age 50 and older, showed that individuals with low B12 levels had a 51% increased risk of depression over four years
This is particularly beneficial for individuals who suffer from gastrointestinal issues that cause them to have difficulty absorbing food nutrients
A commenter urged CMS to ensure that the revised methodology does not inadvertently disadvantage small or rural practices with limited patient volume and to monitor the impact of the new scoring approach on measure reliability and clinician engagement
This size is recommended so that the needle reaches the muscle tissue where the B12 can be absorbed effectively
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