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Treatment depends on the cause and severity: oral supplementation suffices for dietary deficiency, whilst patients with pernicious anaemia or malabsorption typically require intramuscular hydroxocobalamin injections

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For purposes of the RFA, we estimate that many hospitals and CAHs are considered small businesses either by the Small Business Administration's size standards with total revenues of $41.5 million or less in any single year or by the hospital's not-for-profit status

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