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Vitamin B 12 deficiency is highly prevalent in older adults, particularly among those with impaired vitamin absorption due to conditions such as gastric surgery and atrophic gastritis ( 12 levels were predictive of short, medium, and long-term mortality at six, 12, and 48 months ( 12 levels were linked to higher all-cause and cardiovascular mortality during hospitalization

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Medicare's ESA LCD requires a documented hemoglobin level below 10 g/dL and a specific anemia code

If the skin forms a blister or scab, this should be handled gently