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NHS protocols recommend B12 testing and appropriate treatment (oral supplements or intramuscular injections) for confirmed deficiency, not for weight loss purposes

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Out-of-scope-public comments are not addressed in this CY 2026 OPPS/ASC final rule with comment period

As such, we anticipate that the overall number of patients that visit an REH within a given year would be high enough so that there would not be any issues with low case volumes that could undermine the reliability of this measure when used in the REH context