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Because HOPDs will no longer be required to report this measure under the modification to extend voluntary reporting beginning with the CY 2027 reporting period, we estimate the revised data submission burden, reflecting 20 percent of hospitals voluntarily reporting, will be 107 hours (3,200 HOPDs 20 percent 0.167 hours 1 quarter) at a cost of $5,891 (107 hours $55.06/hour) annually

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Cyanocobalamin works fine in many clinical contexts (and is the standard for injections), but as a daily supplement for long-term optimization, methylcobalamin is more direct and more commonly preferred by performance-oriented clinicians

Alternate between right and left, and experiment with popular points for injecting vitamin B12, such as the thighs, buttocks, hips, abdomen, or upper arm