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The March 30, 2022, compliance date for all other amendments that remove vitamin B1 and procaine from the National List require a National Organic Standards Board (NOSB). This condition can occur among people of any age but is most common in children younger than15, so only catches the most severe cases. The source of has not been identified and officials have not ruled out contaminated food, animal contact or person-to-person transmission as playing a role.

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