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Vegans and vegetarians may require supplementation, as plant-based foods contain negligible B12 unless fortified

BMJ 2021:372

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While CMS proposed that the Emergency Care Access & Timeliness eCQM would not be required to be reported by REHs, we proposed that REHs must nonetheless elect to report either the Emergency Care Access & Timeliness eCQM or the Median Time for Discharged ED Patient measure to meet program requirements, beginning with the CY 2027 reporting period/CY 2029 program determination

Take 1 capsule twice daily, at least 1 hour before or after eating or drinking anything other than water