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For a regular patient with vitamin B12 deficiency, the doctors usually start with a high dosage

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This includes people with pernicious anemia, a condition where the body lacks intrinsic factors, making it impossible to absorb B12 from food
It directly affects the DRG the claim falls into and the reimbursement amount

Vitamin B12, commonly known as cyanocobalamin, is a water-soluble vitamin that aids in the creation of DNA, metabolism, the development of red blood cells (hemoglobin), brain functioning, and nerve cell function in humans