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Benefits of dietary folate sufficiency, to reducing cardiovascular risk and stroke, may be demonstrated by the accelerated decline in the numbers of cardiovascular risk and stroke victims in the population of United States and Canada following the fortification of folic acid to commonly consumed food in the US, compared to the statistics from the UK population (Yang et al, cited in Debreceni and Debreceni, 2011) where a requirement for folic acid fortification of white bread flour commenced from autumn 2021 (Department of Health and Social Care, 2021)

However, reimbursement depends on medical necessity, documentation quality, payer policies, and NCCI edit compliance