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Other commenters stated that CMS should delay recalibrating the case-mix weights until the impact of previous recalibrations on access and care has been reviewed

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These include: Vegetarians and vegans, as vitamin B12 is mainly found in animal products Older adults, as they absorb vitamin B12 less well with age People with gastrointestinal disorders, like celiac disease or Crohns disease, which can block vitamin B12 absorption Those taking certain medications, such as proton pump inhibitors or metformin, which can also block vitamin B12 absorption Its best to talk to a healthcare professional about whether you need vitamin B12 supplements

Each component plays a distinct role: choline and methionine are involved in the transport and breakdown of fats in the liver, and inositol participates in cell signaling