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D51.8 Other Vitamin B12 Deficiency Anemias Use for B12 deficiency from causes not classified elsewhere, such as post-gastrectomy, ileal resection, Crohn disease-related malabsorption, bacterial overgrowth, or long-term medication effects (metformin, proton pump inhibitors, H2 blockers)

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My B12 levels remain low despite supplements

patients receiving thyroid-hormone replacement or those with thyroid dysfunction should be monitored for changes in symptom control