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Therefore, we stated that the proposed conversion factor would be adjusted by the difference between the 0.37 percent estimate of pass-through spending for CY 2025 and the 0.59 percent estimate of proposed pass-through spending for CY 2026, resulting in a proposed decrease to the conversion factor for CY 2026 of 0.22 percentage point

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Therefore, monitoring B12 status in patients with fatty liver disease is clinically prudent when risk factors or symptoms are present, particularly in those with advanced disease

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This is why supplementation is often recommended

DOI: 10.1007/s00109-016-1488-y