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[DOI] [PubMed] [Google Scholar] 17.Lovric-Bencic M., Sikiric P., Hanzevacki J.S., Seiwerth S., Rogic D., Kusec V., Aralica G., Konjevoda P., Batelja L., Blagaic A.B

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High-dose oral B12 utilizes passive diffusion (about 12% of dose) even without intrinsic factor, making it effective for many malabsorption conditions

Special Scenarios Post-COVID generalized weakness Documentation must be separate: active infection vs post-infectious recovery Objective strength deficits functional impairment and safety concerns structured plan with measured progress Weakness in older adults Older patients require clear separation between: generalized weakness (M62.81) confirmed sarcopenia (M62.84) Neurologic causes of weakness when present Fall risk documentation strengthens medical necessity when accurate and specific

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