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It's particularly important for those suffering from B12 deficiency, where regular dietary intake or oral supplementation might not suffice

Following manufacturer or compounding pharmacy instructions for reconstitution is essential

That said, we agree that communication and cognition are important to assess directly, and HHAs currently do so through completion of the Brief Interview for Mental Status (BIMS) and Confusion Assessment Method (CAM) items in section C of the OASIS

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Older people are more often affected, as are people with weakened immune systems (immunosuppression)