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As stated in the proposed rule, even where one provision refers to a second provision, the preamble and the regulatory text clarify the intent of the agency that the two provisions will be severable if one provision were to be invalidated in whole or in part

Stomach issues, such as gastritis, infection with Helicobacter pylori or bariatric surgery (reducing stomach size) can all significantly reduce B12 absorption (Sobczyska-Malefora et al., 2021)

(2009) Effectiveness of vitamin B12 in treating recurrent aphthous stomatitis: a randomized, double-blind, placebo-controlled trial

Many commenters also noted the AMA's intent to collect practice cost data from physician practices, which could be used to derive cost share weights for the MEI and RVU shares

If you have tried oral B12 before and felt no change, this may be part of the reason, and it is worth mentioning to your provider