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Average weight loss is 15-20% of body weight in 12 months

In elderly patients with renal disease, methylmalonic acid accumulates so levels in urine, like serum, are elevated leading to a decreased specificity for B12 deficiency

Vitamin B12 or cobalamin is an essential nutrient that plays a crucial role in maintaining optimal health

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Many of these commenters stated that maintaining voluntary reporting appropriately acknowledges the ongoing concerns around provider burden while still allowing hospitals to report data as they are able and avoiding punitive consequences for non-compliance