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For people on vegetarian or vegan diets, up to 90% have a vitamin B12 deficiency

doi: 10.1155/2015/628157 PMCID: PMC4637104 Intestinal Permeability in Inflammatory Bowel Disease: Pathogenesis, Clinical Evaluation, and Therapy of Leaky Gut Andrea Michielan and Renata DInc ~ Therap Adv Gastroenterol

While we understand the commenter's recommendation to add an option for submitters to indicate whether they would want to keep or delete a prior submission, we note that at the time of submission, the system generates warnings to the submitter (for all the available submission types) if there is an existing data submission for an individual MIPS eligible clinician, group, virtual group, subgroup, or APM Entity

Shots may be reviewed when a patient wants more direct delivery or when the treatment goal involves localized recovery