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A cobalamin blood test, in conjunction with a folate (vitamin B9) blood test, may be used to assess digestive function and nutrient absorption in addition to a canine trypsin-like immunoreactivity (cTLI) blood test

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Unlike allergic hives, which follow exposure to a specific allergen, stress hives often come and go without warning, usually around emotionally tense periods

Response: We appreciate the feedback from commenters, but note that these payment systems are outside the scope of the statutory provision at section 1833(t)(16)(G)(iv) of the Act and this final rule with comment period