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Some commenters requested that we not make any updates to the expanded Model at this time stating it was too soon, and that we should wait to make proposals after HHAs have seen data on the proposed measures

Anti-parietal cell antibody is more sensitive (90%) but less specific (50%) for diagnosis of PA as it can also be found in other autoimmune diseases.29 39 On the other hand, anti-intrinsic factor antibody is less sensitive (50%) but more specific (98%), and its presence is almost diagnostic of PA.29 39 Schilling test, traditionally used to diagnose intrinsic factorrelated malabsorption, is now rarely performed

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