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We believe that these policies sufficiently support ACOs in the assumption of risk, and the efficacy of these policies would not be impeded by our proposal to remove the health equity adjustment as discussed in detail in our aforementioned analyses, which indicated that historically, the removal of the health equity adjustment would not have prevented any ACOs that benefitted from the health equity adjustment to meet the quality performance standard

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A commenter stated that they do not support the repository because imposing duplicative submission requirements puts the stability of the 340B Program at risk

Elevated B12 Symptoms: Signs of Too Much Vitamin B12 While rare, excessive B12 intake can lead to certain symptoms: Acne or rosacea Headaches Nausea and vomiting Diarrhea Fatigue Tingling in hands and feet It's crucial to note that these symptoms can also be caused by other conditions, so always consult a healthcare professional for proper diagnosis