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When the anemia is severe and the red blood cell count is extremely low, blood transfusions may be necessary for the first couple of days until the vitamin B 12 injections begin working

Wear protective eyewear and gloves, open the bottle carefully in a well-ventilated area, and poke a small hole in the seal to release pressure

Comment: Commenters opposed the inclusion of lymphedema compression treatment items in the DMEPOS competitive bidding program due to concerns that competitive bidding could result in reduced access to these items for beneficiaries

Acknowledgement The patient in this manuscript has given written informed consent to the publication of his case details and photographs