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For individuals with digestive conditions, malabsorption issues, or those whove undergone procedures affecting nutrient uptake, injections provide the only reliable B12 delivery method

It will take a few months to go away

Response: We note that the two SDOH measures went through the rigorous measure development lifecycle outlined at the CMS Measures Management System website [269] which includes measure testing and reliability analysis

The 2025 IV pilot measured cardiac, hepatic, renal, thyroid, and glucose biomarkers and reported no abnormalities (Lee et al., 2025), which gives a sense of what those investigators considered worth checking