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It's important to note that plant sources like seaweed, spirulina, and fermented foods contain B12 analogues that are not reliable sources of bioavailable vitamin B12 for humans

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In addition, section 1895(b) of the Act requires: (1) the computation of a standard prospective payment amount include all costs for home health services covered and paid for on a reasonable cost basis and that such amounts be initially based on the most recent audited cost report data available to the Secretary

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