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However, certain factors such as age, pregnancy, dietary choices, medical conditions, genetics, medication, and excessive alcohol consumption can increase the body’s demand for vitamin B complex

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of this final rule to adjust the aggregate pools of PE costs (direct PE in step 3 and indirect PE in step 10) in proportion to the change in the PE share in the updated MEI cost share weights, as previously described in the CY 2014 PFS final rule (78 FR 74236 and 74237), and to recalibrate the relativity adjustment that we apply in step 18 described in section II.B