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Another group thats at-risk for low B12 levels are those who have had gastric bypass surgery or have other stomach issues, such as ulcers

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Specifically, the commenter recommended defining an approved program at 412.105(f)(1)(i)(A) as one that [i]s approved by one of the national organizations listed in 415.152 of this chapter, provided that the national organization does not use accreditation criteria that either promote or emphasize diversity, equity, inclusion, or awareness based on race, color, sex, sexual orientation or gender identity, national origin, or any other characteristic which serves as a proxy to achieve the same ends or would cause the hospitals to violate, or reasonably cause the hospitals to believe that they would violate, Federal civil rights laws if adopted by the hospitals. The commenter recommended similar language for other sections of the regulations subject to this proposal