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It's important to note that your body typically excretes excess B12 through urine, making a true overdose unlikely

Suitable fluids: Try to choose protein rich liquids in between your meals: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes, protein water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Aim to drink 1.5-2 litres of fluids each day

Further, as discussed in the CY 2025 PFS proposed rule (89 FR 61981), in considering whether consistency across CMS programs is critical, we believe that consideration for the completeness of data, as discussed above, should be prioritized over consistency across program timelines

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