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Some experts point out that regular injections should only be used as a last resort if supplements dont work or if deficiency symptoms are serious.

Pagan C, Delorme R, Callebert J, Goubran-Botros H, Amsellem F, Drouot X, et al

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The commenters noted that this antiquated cost containment mechanism penalizes migration to lower-cost ASC settings and threatens outpatient access to care, with ASC relative weights decreasing by an average of 7 percent each year since 2010 and the proposed 2026 scalar representing the largest projected cut to ASC weights since payment system alignment in 2008