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To view a copy of this licence, visit About this article Cite this article Jafari-Khorchani, M., Neisy, A., Alaee, S

Signs of B-12 deficiency can include fatigue, weakness, sore tongue, nerve pains, insomnia, depression, canker sores, easy bruising, numbness and tingling in hands or feet, and memory problems

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Comment: One commenter urged CMS to clarify that there is an exception to the eligibility of the furnishing fee for when a patient needs a blood clotting factor for hemophilia and surgery while in the hospital, contending that absent the recommendation, there could be a significant impact on hospitals due to lack of payment