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Tarnawski and Ahluwalia, 2012

No Phase 3 trials were undertaken

Consult Your Healthcare Provider If you experience excessive tiredness or nerve problems, your healthcare provider can do a blood test to check vitamin B12 levels and also rule out other potential causes for your symptoms

Response: While we understand the commenters' concerns, section 1833(t)(3)(F)(i) of the Act requires that after determining the OPD fee schedule increase factor under subparagraph (C)(iv), the Secretary shall reduce such increase factor by the productivity adjustment described in section 1886(b)(3)(B)(xi) of the Act