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They can then adjust the treatment to get the best results

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Diagnosis and Treatment of Vitamin B12 Deficiency: Diagnosis of vitamin B12 deficiency typically involves a physical exam, a review of medical history, and blood tests to measure the levels of vitamin B12 and other related markers

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Instead, commenters stated that CMS should trust the good faith of others within the hospital who are far closer to the information and can verify its accuracy far more directly and easily than someone higher on the organizational chart with broader responsibility