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[20] For strict vegans , B12 supplementation or consistent consumption of fortified foods is essential, as plant foods do not naturally contain bioavailable B12

To simulate the impact of the proposed Overall Hospital Quality Star Rating methodology, we used the July 2024 refresh of the Overall Hospital Quality Star Rating (the most recent publicly released results as of the writing of the proposal) to describe the overall distribution and reclassification of the Overall Hospital Quality Star Rating across different types of hospitals

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