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People following a vegan or plant-based diet are more likely to present with a B12 deficiency, but those over 60 are also at a higher risk of not consuming enough B12

Y., Greenberg, A

We understand that hospitals may not know plan design, payer-based algorithms, or patient acuity, that are determined after the episode of care is complete, and also understand that an MRF in JSON or CSV that captures standard charge information at the item or service level cannot possibly account for every patient scenario

It is the reference document if you want the complete picture

However, as the conversion rate was only determined in one type of meat with each cobalamin spiked at a single concentration, further conclusions about the associated errors with cyanidation await more investigations