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The commenter also recommended CMS develop a more granular, specialty-specific benchmarking approach that reflects clinical realities and avoids applying measures validated in one population to another with different practice patterns and patient profiles

Pernicious Anemia : This is an autoimmune disorder in which the body's immune system attacks and destroys the cells that produce intrinsic factors, leading to vitamin B12 deficiency

- If you have any underlying medical conditions, seek medical advice before using this supplement

That way we can navigate whether side effects are something where we should stop the medication or decrease that medication