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Common symptoms and signs of a vitamin B12 deficiency include digestive problems, anaemia, a sore tongue, loss of appetite, muscle weakness, poor memory and an increased risk of nervous system damage

As described in the CY 2025 PFS proposed rule (89 FR 62033), we currently assign a score for any data submitted for the MIPS performance categories and have implemented operational measures to limit unintentional overriding of an approved reweighting or existing scorable data submitted for a MIPS performance category

Therefore, those who are vegetarian or vegan are more likely to be deficient in vitamin B12

Birth Defects Res A Clin Mol Teratol

DOSAGE AND ADMINISTRATION: For intramuscular or subcutaneous administration: Calves:4-8 ml subcutaneous,in the first week after birth