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Vitamin B12 deficiency is also now considered to be a common side effect in patients receiving metformin treatment (0ften used to treat diabetes), particularly if patients are receiving a higher dose, longer treatment duration or have existing risk factors

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For all other specialties (those that are not listed in Table A-M1) that typically do not distinguish premiums as previously described, a single risk index value was calculated, and that specialty risk index value was applied to all services performed by those specialties