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Without this specificity, coders face a dilemma: assign the more general D51.9 (unspecified B12 deficiency anemia) or query the provider

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The debilitating fatigue which seems to be the most common symtpom of B12 deficiency may be due to a combination of neurological factors, anaemia, and the role of B12 in the mitochondria

Diagnosis is made by identification of eggs or segments of the tapeworm (ie, proglottids) in a stool sample with a microscope

Methylcobalamin works in the cell plasma, whilst adenosylcobalamin is only active in the mitochondria