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A patient with B12 deficiency following Roux-en-Y gastric bypass receives D51.8 because the small intestine cannot properly absorb B12 despite adequate intrinsic factor production

If programming outside of MR or days before MR, the code is not reportable

However a full consultation should be conducted, any medical conditions, allergies, and medications you are taking should be disclosed to ens While uncommon, some individuals may experience mild side effects such as temporary discomfort at the injection site, bruising, or allergic reactions to certain ingredients

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Any advice would be most appreciated

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