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Include chart notes with appeal letter explaining why the injection was needed and how it meets payer policy

This may be relevant for people with malabsorption disorders such as Crohn's disease or coeliac disease, though it's important to note that for pernicious anaemia, intramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology

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Only a medical professional can conclusively determine if you have a vitamin B12 deficiency