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In some cases, high-dose daily oral B12 supplements (typically 1000 g daily) can also be used as an effective alternative or addition for maintenance therapy [9] [10]

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We are also finalizing as proposed that CMS will empirically assess the affected cost measure to determine the extent to which the changes or errors impact the calculation of a cost measure score such that calculating the cost measure score will lead to misleading or inaccurate results that negatively impact the measure's ability to reliably assess performance