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Since vitamin B 12 is found predominantly in foods of animal origin, strict vegetarian and vegan diets can result in vitamin B 12 deficiency (2, 16)

Under 419.41(c)(1) and 419.43(c) (published in the OPPS April 7, 2000, final rule with comment period (65 FR 18495 and 18545)), the OPPS adopted the final fiscal year IPPS post-reclassified wage index as the calendar year wage index for adjusting the OPPS standard payment amounts for labor market differences

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B12 deficiency can worsen tinnitus and lead to other symptoms like fatigue, muscle weakness, and nerve damage

No organ toxicity, mutagenicity, or teratogenic effects were observed