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Erlandsson, M

When beta-glucuronidase producing bacteria are allowed to overgrow it leads to elevated estrogen levels, contributing to estrogen dominance in both men and women

But in general, these folks are more likely to be B12 deficient: vegetarians or vegans people taking certain medications (like metformin, Prilosec, or Pepcid) pregnant and breastfeeding people people over 50 people with atrophic gastritis, celiac disease, Crohns disease, or who have had stomach or intestinal surgery Which form of vitamin B12 is best

These are typically available in capsule or tablet form and are taken daily as part of a long-term regimen

Similar to the health equity adjustment, flat benchmarks for Medicare CQMs are applicable to the Medicare CQMs included in the APP Plus quality measure set