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Methotrexate Toxicity: Dose as directed by protocol or physician guidance

Commenters indicated that to the extent that a hospital would be required to identify each patient discharge to which a particular rate applied, then determine the MS-DRG that would have applied to that case, and then calculate or determine an MS-DRG rate for that payer based on that claims history, CMS severely understates the hospital burden in completing Worksheet S-12 and that this burden and approach is wholly unsupported

But, grain-based fermented foods, some cheese, and fermented vegetables like Korean kimchi have some, as do miso and tempeh

Home preparation has none of these checks

H.et al (1992)

Data were recorded for all patients older than 18 years of age who were prescribed VB12 during January 2014December 2017