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Disclosure of interest: There are no relevant conflicts of interest

Higher concentrations dont have clearly better outcomes data and may cost more

Cyanocobalamin works but requires more metabolic conversion and releases trace cyanide (clinically insignificant at normal doses, but unnecessary when better forms exist)

Professional clinics work with patients to optimize insurance benefits while providing transparent pricing for services not covered under provincial plans

The survey is designed to impose the least amount of burden on hospitals as possible while ensuring we capture the required data to inform payment rates as required by statute