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Findings consistent with pernicious anemia due to intrinsic factor deficiency. This structured approach provides coders with all elements needed for confident D51.0 assignment

A deficiency can affect the nervous system and cause sensations such as numbness or tingling in the hands, feet, or legs

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It gets sold beside injectable peptides in the same clinics and research catalogs, and "peptide" has drifted into a wellness catch-all for anything in that space