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del Rincon J-P, Iida K, Gaylinn BD, McCurdy CE, Leitner JW, Barbour LA, Kopchick JJ, Friedman JE, Draznin B, Thorner MO

Multiple studies have documented a high prevalence of Vitamin B12 deficiency and elevated homocysteine levels in patients recovering from acute COVID-19 infections

These effects were considered secondary to the pharmacological effects of tirzepatide on food consumption and body weight

Because Vitamin B12 operates at the foundational level of cellular metabolism, methylation, and nerve health, its benefits extend across multiple bodily systems

While we believe the measure is technically feasible for some hospitals, the variation in resource levels among hospitals with different characteristics, such as small and rural facilities, combined with feedback we have received regarding the implementation challenges faced by some HOPDs, indicates that more time is needed before reporting for the measure becomes mandatory