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Wouldnt refined carbs & fats not be the bigger driver here

These hospitals are expected to experience a decrease in payments from FY 2023 to FY 2024 of 1.5 percent, primarily due to the projected 4.7 percent decrease in high cost outlier payments as a percentage of total LTCH PPS standard Federal payment rate payments, as discussed in section I.J

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Support should involve reducing any gastritis and H pylori levels and bypassing the enteric route for B12 absorption by using sublingual B12 or injections

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