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A commenter suggested specific language that they would like to see CMS use

Considering the public input received and further internal analyses conducted, we proposed to make the following modifications to the Overall Hospital Quality Star Rating methodology: (1) implement a 4-star cap for hospitals in the lowest-performing quartile of the Safety of Care measure group for the 2026 Overall Hospital Quality Star Rating, and (2) implement a blanket 1-star reduction for hospitals in the lowest-performing quartile of the Safety of Care measure group for the 2027 Overall Hospital Quality Star Rating and thereafter

If anything I felt more hungry

Most antibiotics, methotrexate, and pyrimethamine invalidate folic acid and vitamin B12 diagnostic microbiological blood assays

The liver filters out most of the B12 but provides a constant stream in the blood to the rest of the body

As a whole b12 serves as co-factor for many reactions in the body including proper functioning of the nervous system, metabolism, neurotransmitter production, DNA repair, cell membrane production, and more