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Comment: Several commenters noted that the current requirements have achieved high compliance rates through increased enforcement efforts and collaboration

Women who follow vegetarian or vegan diets are among the groups most commonly identified as at risk for B12 deficiency, and that risk compounds over time as body stores deplete

Inadequate caloric and protein intake becomes a genuine medical concern, risking muscle loss and severe fatigue

Within each active month, the 5-days-on, 2-days-off schedule follows the same logic at the weekly level: it prevents tachyphylaxis (diminished response from constant exposure) while maintaining enough stimulus frequency to produce measurable visceral fat reduction