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Progress notes should explicitly state patient requires parenteral B12 due to intrinsic factor deficiency documented by positive anti-IF antibodies. This language connects diagnosis, treatment mechanism, and medical necessity in a single statement

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Cox, Daniel Eichner Published: Drug Testing and Analysis, Volume 7, Issue 1, January 2015, pages 3138 DOI: 10.1002/dta.1715 URL: AOD9604 was incubated in human serum and rat plasma at room temperature to study in vitro metabolic degradation

The only way to know for sure if you need B12 injections is by getting a blood test

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