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We also requested input and comments on the applicability of tools and constructs that assess the integration of complementary and integrative health, skill building, and self-care

We note that, in certain instances, there might be urban or rural areas for which there is no IPPS hospital that has wage index data that could be used to set the wage index for that area

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When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention

experts therefore recommend using such products only when the potential maternal benefit clearly outweighs theoretical risk and under obstetric supervision