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There are currently four theories about the mechanism by which vitamin B12 deficiency causes neurological disorders [87,88,89]: (i) vitamin B12 exists in two active forms, methylcobalamin and adenosylcobalamin

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While we acknowledge concerns that a hospital may not have the opportunity to respond to performance results between the implementation of the star cap and the 1-star reduction, we note that the Safety of Care measure group and its component measures have been a prominent part of the Overall Hospital Quality Star Rating since its inception, with hospitals' Safety of Care performance already contributing substantially to their Overall Hospital Quality Star Rating

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Both studies need further confirmation on larger cohorts