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Comment: A commenter questioned if CMS would examine the 300 hospices cited in the OIG report [162] specifically for consideration for the SFP

In mitochondria, Vitamin B12 acts as a cofactor for methylmalonyl-CoA mutase , an enzyme that catalyzes the conversion of methylmalonyl-CoA to succinyl-CoA

A vitamin B12 deficiency can often lead to a feeling of extreme tiredness, lack of energy and muscle weakness alongside many other symptoms

+ A single injection at 50 gives a useful boost lasting four to eight weeks

References: Cleveland Clinic

The best you can do is have an open conversation with your provider, considering the minimal potential risks against your own comfort and needs when discussing your medication options