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Secretary of Health and Human Services determined that expansion of the original HHVBP Model will further reduce Medicare spending and improve the quality of care and the CMS Chief Actuary certified that expansion of the HHVBP Model will produce Medicare savings if expanded to all states
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Although malabsorption is a plausible mechanism for the vitamin B12 deficiency associated with metformin treatment, normalization of vitamin B12 levels has been observed even after oral administration [57]
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