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Description
A common cause of low B12 is poor absorption from the digestive tract

Sage advice from Vani Hari, aka The Food Babe

To identify poor performance, we have identified several indicators, namely, survey reports with Condition-Level Deficiencies (CLDs) and complaints with substantiated allegations, and CMS Medicare data sources from the Hospice Quality Reporting Program (HQRP) (Medicare claims and Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey)

In practical terms, the difference is small enough that standard dosing protocols do not adjust for it