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it can be taken as a pill or under the tongueis when there is a deficiency that can be caused by pernicious anemia, celiac or Crohns disease, or weight loss procedures such as gastric bypass surgery, which interferes with the bodys ability to extract vitamins from food

Overusing D64.9, forgetting to link underlying conditions, mis-coding sickle cell crises, or leaving out lab documentation are the most commonand avoidablemistakes

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(Pharmacological doses of folic acid reverse the haematological abnormalities (eg a MCV) of Cbl deficiency

That means faster, more reliable absorption than oral supplements