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Coders should not code signs and symptoms that are integral to a confirmed diabetes diagnosis (per ICD-10-CM guideline I.C.4), but they must recognize presentations that prompt CDI queries for new complications

[1] The mechanism by which metformin reduces serum vitamin B12 levels has not been elucidated, but the most likely hypothesis is that metformin interferes with calcium-dependent membrane action responsible for vitamin B12 intrinsic factor absorption in the terminal ileum

The two leading causes of B12 deficiency are a poor diet and problems absorbing B12

In our experience from member comments, no primary care doctor in the UK has access to, or has heard of, this test

Eosinophils They defend against parasitic infection, also contributing to allergic reactions