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Vitamin B12 deficiency is thought to be one of the leading nutrient deficiencies in the world, with a 2004 study showing that its a major health concern in many parts of the world, including the U.S., India, Mexico, Central America, South America and certain areas in Africa

doi:10.1081/DDC-120005622

Tables 168 and 169 of this final rule with comment period display the redistributive impact of the CY 2026 changes regarding ASC payments, grouped by specialty area and then grouped by procedures with the greatest ASC expenditures, respectively

They improve intestinal barrier integrity, lower systemic endotoxin burden, and alter dendritic cell and T-cell responses by reestablishing microbial balance (55)