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D51.3 - Other dietary vitamin B12 deficiency anemia: Yes, billable

Tachyphylaxis can also develop with very frequent dosing

doi:10.1016/S0022-2836(05)80181-0 [PubMed] [Elsevier] 110

Common overlapping symptoms include: Changes in sleep patterns, ranging from insomnia to excessive sleeping Mood swings and emotional instability, which may fluctuate throughout the day Difficulty maintaining relationships, both personal and professional Problems at work or school, including decreased performance and attendance Loss of interest in previously enjoyed activities, often accompanied by social withdrawal Physical health deterioration, including changes in appetite and energy levels Social isolation and withdrawal, which can worsen both conditions These overlapping symptoms often mask underlying conditions

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