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I say about 25% of Americans got vaccinated last year and the year before that, so those numbers have declined quite a bit from the earlier part of the pandemic and that 25% has held pretty stable over the last two seasons, Morris said, and I think that most of those patients will also still be able to get vaccinated. While many Americans are still eligible for the vaccine under the new criteria, Morris said she is worried these new barriers and the uncertainty that comes along with them may keep many people have getting their vaccine

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If the reason is less clear, the care team may recommend review of symptoms, outside records, or broader follow-up before turning B12 into a repeating plan