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For more information on the Excessive Radiation eCQM pilot, we refer readers to the measure submission materials on the Partnership for Quality Measurement website at and the eCQI Resource Center at Comment: Many commenters expressed concern that the two core metrics of the Excessive Radiation eCQM, Calculated CT Global Noise and Calculated CT Size-Adjusted Dose lack technical validity, clinical relevance, and implementation feasibility

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Long-Term Effects of Excessive Doses Continuous use of large amounts of methylcobalamin over a period can lead to issues like kidney stress and nerve damage while causing imbalances in important vitamins and minerals in the body