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D64.9 applies only when no specific type or cause is documented, and payers scrutinize it more than cause-specific codes

1 2 "Vitamin B12 production by Citrobacter freundii or Klebsiella pneumoniae during tempeh fermentation and proof of enterotoxin absence by PCR"

Increased NNMT activity has been observed in several metabolic research models and is associated with altered energy expenditure and disrupted NAD+ recycling

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Why Vitamin B12 Deficiency Is Often Missed in Aging Adults Vitamin B12 deficiency is often missed because the symptoms fatigue, anemia, neuropathy, memory problems, or walking difficulties are quite common in older adults, and can easily be caused by something else

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