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C9399 (Unclassified drugs or biologicals) is used in hospital outpatient settings under the Outpatient Prospective Payment System (OPPS)

An experimental study in a rat model

[6] [3] [10] A mild deficiency may not cause any discernible symptoms, but moderate deficiency can cause various symptoms, such as feeling tired, lightheadedness, headaches, cold intolerance, pale skin, sore tongue, upset stomach, loss of appetite, hair and skin color changes, numbness or tingling (pins and needles) of the fingers and toes, and tinnitus, and vision, cognitive or psychological problems

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In some cases, however, blood levels can appear normal even in later stages