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A commenter recommended that the agency monitor the model's impact on care coordination, access, and clinician workload and that CMS should make midcourse adjustments as needed to protect patient care quality

For patients diagnosed with a vitamin B12 deficiencyespecially when caused by problems with absorption in the digestive tract (such as pernicious anemia, certain gastrointestinal conditions, or after specific surgeries)oral supplements may not be effective

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