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Without adequate B12, homocysteine levels rise, and elevated homocysteine is neurotoxic, potentially causing direct damage to nerve cells and blood vessels that supply nerves

~ AlphaMD She asks the question over dinner, or maybe in bed before the lights go out: "Why do you need testosterone?" The way she says it, there's weight behind the words, a mix of concern and something else you can't quite name

They often require supplements or injections to get enough B12

Commenters supported CMS's efforts to strengthen the role of patient safety in the Overall Hospital Quality Star Rating and urged the agency to proceed thoughtfully, with continued interested party engagement and a focus on equitable, transparent implementation