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Pernicious anemia: the expected findings of very low serum cobalamin levels, anemia, and macrocytosis are often lacking

BMJ Clinical Evidence , 1204

Here is when D64.9 is appropriate: The patient presents with anemia symptoms, but lab results are pending The provider suspects anemia, but the diagnostic workup is not complete The patient was transferred from another facility with limited records Here is when D64.9 is not appropriate: Iron studies confirm iron deficiency use D50.9 instead B12 level confirms deficiency use D51.9 instead Patient has known chronic kidney disease use D63.8 instead Patient had a recent surgery with bleeding use D62 instead Switch from D64.9 to the specific code within one visit or one follow-up

While there is no problem with doing so, and we as medical professionals do actually recommend supplements in specific cases, this may not be the most optimal method for B12

Each pack contains 1 sterile ampoule, making it ideal for medical professionals, wellness clinics, and individuals seeking a reliable B12 injection