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of this proposed rule, this column also reflects the proposed change to include hospitals with 412.103 reclassification along with geographically rural hospitals in all rural wage index calculations, and to only exclude dual reclass hospitals (hospitals with simultaneous 412.103 and MGCRB reclassifications) when implicated by the hold harmless provision at section 1886(d)(8)(C)(ii) of the Act

ACETAMINOPHEN TOXICITY It produces dose-dependent hepatotoxicity Recommended dose of paracetamol for adults is 650mg to 1000mg every 4 to 6 hours, not to exceed 4g/day

IV delivery provides a steady dose that the body can use right away

Hyeon Gyeong Yoo

Please note that all the risks mentioned are only associated with extremely high doses of vitamin B12