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However, despite its importance, in the United States and United Kingdom, approximately six per cent of adults aged 60 or younger have a vitamin B12 deficiency

however, it does so at the expense of applying the same weight, which is inconsistent with previous decisions about apply differential weighting to measures to incentivize HHAs to act on improving measures with higher weights in the applicable measure set as outlined in the CY 2022 HH PPS final rule (86 FR 62322)