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The commenters suggested CMS to monitor the results of each ASM cohort in the model to ensure the complex patient adjustment and small practice scoring adjustments are properly sized

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(Folate deficiency disrupts normal DNA synthesis and methylation, which interferes with cell division and development, especially in rapidly dividing embryos.) Megaloblastic anemia, which can lead to symptoms like fatigue, weakness, and difficulty concentrating Elevated homocysteine, even when B12 levels are normal

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