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Comment: Several commenters recommended refinements to the time thresholds established for the numerator components of the Emergency Care Access & Timeliness eCQM

Individuals at risk of deficiency, such as vegetarians, vegans, older adults, or those with digestive disorders, may benefit from Vitamin B12 injections

Injections provide higher blood concentrations than oral supplements due to their direct route into the bloodstream which allows for greater absorption rates resulting in more effective results with fewer doses required over time compared with oral supplements

If the result of the primary test is low, they should diagnose vitamin B12 deficiency