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The enforcement discretion announces that ASTP/ONC will not exercise its direct review authority under 45 CFR 170.580 for any non-conformity, potential or actual, that arises solely from certified health IT not complying with the adopted standards finalized in 45 CFR 170.315(f)(5) so long as the health IT remains conformant with either 45 CFR 170.315(f)(5)(i) or the requirements in (f)(5)(ii)

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However, nerve pain is more common to a B12 deficiency, while bone pain is typically associated with a lack of vitamin D