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Whilst fatty liver disease itself may not directly cause B12 deficiency, the constellation of metabolic conditions, medications, and lifestyle factors commonly associated with fatty liver can collectively increase vulnerability to deficiency
Digestive Disorders: Individuals with conditions such as Crohns disease or celiac disease may experience impaired absorption of B12 in the intestines
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It helps regulate insulin and supports the transport of fat through the bloodstream
Including cyanocobalamin in the injection ensures adequate B12 replacement to prevent neurological complications and megaloblastic anemia that can develop over months of restricted intake
This modification solidifies our intent in the proposed rule to ensure hospitals calculate the allowed amount data elements over a more consistent time period and calculate them based on the most recent reimbursements to enhance comparability
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