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Specifically, we are finalizing that the APP scoring policies at 414.1367(c)(1) for the calculation of the ACO's MIPS Quality performance category, 414.1367(c)(2) for the calculation of an ACO's MIPS Cost performance category, 414.1367(c)(3) for the calculation of an ACO's MIPS Improvement activities performance category, and 414.1367(c)(4) for the calculation of an ACO's MIPS Promoting Interoperability performance category will apply to ACOs that report the APP Plus quality measure set in performance year 2025 and subsequent performance years

Effective for Deficiency: People with gastrointestinal operations, absorption difficulties, or pernicious anemia benefit most from injections

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Individuals with Restricted Diets or Poor Appetite: Those with limited food choices, poor appetite, or eating disorders may have difficulty obtaining sufficient B vitamins from their diets

Supplementary information Supplementary Methods 17, Figs