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People with kidney disease should also avoid high doses of B vitamins unless recommended by a doctor

This could potentially limit its use in human medicine

For protocols extending beyond four weeks, reconstitute only what you need for a single vials worth of doses rather than mixing multiple vials at once

In response to the request for comment, Measure Concepts under Consideration for Future Years in the Hospital OQR, REHQR, and ASCQR Programs-Request for Information (RFI): Well-Being and Nutrition, several commenters urged CMS to keep the SDOH measures and invest resources into improving the applicability and actionability of these measures as a way to improve well-being and nutrition