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that is, if 14 patients were treated for 4 years with metformin 850 mg t.d.s., one would develop vitamin B12 deficiency

For the CY 2023 program year, 820 of the 11,549 active Medicare-certified HHAs, or approximately 7.1 percent, did not receive the full annual percentage increase because they did not meet assessment submission requirements

Elderly people may be at greater risk for this

Active-form methylcobalamin circumvents that bottleneck and supports more predictable cellular uptake
