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Metformin, used as treatment for type 2 diabetes, induces B12 malabsorption and has also been associated with low total serum B12 concentrations (AlFawaeir & AlOdat, 2022)

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The commenter highlighted that the language in the descriptor referring to initial medical examination and initial assessments specifies that these services are conducted by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a program physician or qualified personnel. The commenter added that this specific language has been removed in SAMHSA's regulations at 8.12(f)(2)(i) after the recent final rule, so the current code descriptor language is not in alignment with new regulatory requirements

Some Mexican residents owned land, but many more worked as agricultural workers, toiling in the fields and building and maintaining canals that served other landowners.[104] The first newspaper in the valley, the Salt River Herald, began publishing inJanuary 1878