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Barthel, A., Schmoll, D

Low B12 levels may occur due to dietary factors, absorption issues, certain medications, or increased metabolic demand, potentially leading to fatigue, neurologic symptoms, or anemia if left unaddressed

It was not a clinical trial and did not establish a human treatment protocol

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The commenter expressed concern that low payment may cause skilled surgeons to preferentially choose better-paying procedures and potentially diminish the availability of AVF creation