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The direct delivery method ensures optimal absorption of nutrients, bypassing potential digestive system limitations
We decided to use more recent data from the CY 2022 time period because it is more likely to be aligned with performance years' data under the expanded Model, and provide a more appropriate baseline for assessing HHA improvement for all measures under the expanded Model as compared to both the pre-PHE CY 2019 data, as previously proposed for existing HHAs, and the CY 2021 data, as previously proposed for new HHAs certified between January 1, 2019 and December 31, 2020
Furthermore, observation of patient compliance to daily oral B12 intake is difficult to assess and might affect patient biochemistry and outcomes long-term (Stabler et al., 2013)

Some medications can actually deplete certain nutrients over time, which our IV formulations can help replenish
