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Vitamin B12 deficiency is common amongst older adults who do not have enough hydrochloric acid in their stomach to absorb Vitamin B12 naturally, individuals who take stomach acid-altering medications or antibiotics frequently, individuals who have a gastrointestinal conditions, vegetarians/ vegans, and individuals with pernicious anemia

A healthcare professional may prescribe it to help with weight loss or lower the risk of certain cardiovascular problems

For the Enhanced Communications Opportunities APCM service element, we proposed to incorporate access to CTBS services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/EHR referral service(s), to maintain ongoing communication with the patient, as well as access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and E/M visits (or e-visits) (see section II.G.2.c.(8) of this final rule)

Additionally, supplementing with a complete mineral complex, B vitamins and essential fats can provide the heart muscle with essential nutrients needed to maintain normal electrical activity