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As stated in previous rulemaking, we are working to develop ways to encourage the use of CEHRT for electronic reporting without offering measure bonus points

methylmalonic acid and homocysteine require vitamin B 12 as a cofactor for enzymatic conversion, and either or both may be elevated in early vitamin B 12 deficiency

it supports the conversion of fatty acids into energy

Where there is neurological involvement, the loading phase uses alternate-day injections until there is no further improvement, and maintenance is 1 mg every two months