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When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention

D64.9 (anemia, unspecified) is generally not a CC and adds no DRG weight

Many older adults who need that extra boost can benefit greatly as well as all ages who are b12 deficient

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Olasupo Odunsi If you have tried keto, cardio, and calorie counting and the scale still will not move, the problem is usually not effort