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Other people who are at risk of having vitamin B12 deficiency include those who have had intestinal surgery, or who have gut diseases like Crohns disease or celiac disease

Rare cases of acute pancreatitis, jaundice, fulminant hepatitis, hepatic necrosis, and hepatic failure have been reported, sometimes with fatal outcomes

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As we stated in the CY 2026 OPPS/ASC proposed rule, we believe that requiring hospitals to encode the count of allowed amounts provides valuable information to allow MRF users to assess how representative the median, 10th percentile, and 90th percentile allowed amounts are of the overall price distribution for the item or service, with the reassurance of their statistical validity increasing with the increasing number of allowed amounts used to make the calculation

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