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Comment: Commenters requested that CMS eliminate or waive the productivity adjustment for CY 2026 and going forward using CMS' special exceptions and adjustments authority under section 1886(b)(3)(B)(xi) of the Act, which would justify special circumstances
If the injection is well tolerated and goals are not yet met, a clinician may adjust
Paired with a healthy diet and exercise, they can complement performance and fitness goals
This is not simply due to supplements but also due to the widespread fortification of foods with folic acid and has been shown by some authors to lower the rates of macrocytosis in patients with proven B12 deficiency (Wyckoff)
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