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A few commenters encouraged CMS to explore alternative mechanisms for tracking equity-related efforts and integrating social needs into care delivery, such as voluntary documentation of Z-codes

This process is an active field of study and has recently been reviewed (217)

The gas chemically inactivates B12 through irreversible oxidation of its coenzyme form, methylcobalamin, at the active site of the B12dependent methionine synthase reaction

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Many people, especially those with certain dietary restrictions, may not get enough B12 from their diet