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Per the agency while the root causes of chronic disease are often multi-factorial and holistic, tailored interventions may be optimal, and assessing risk related to the root causes of many chronic conditions begins with assessing essential, common behaviors such as physical activity levels and nutrition (that is, diet composition ). CMS emphasizes that this assessment should be used to inform the diagnosis and treatment plan during an associated E/M or behavioral health visit, and practitioners are expected to incorporate the results into their medical decision-making and refer patients to relevant resources

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Folic Acid, vitamin B9 is not a substitute for cyanocobalamin, vitamin B12 deficiency, although it may improve vitamin B12 megaloblastic anemia

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