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Common Causes of B12 Deficiency Document the cause of B12 deficiency to support the specific code : Pernicious anemia โ Autoimmune destruction of stomach cells Gastrectomy or weight loss surgery โ Loss of intrinsic factor production Strict vegetarian diet โ Inadequate dietary intake Crohnโs disease or celiac disease โ Malabsorption in the small intestine Chronic pancreatitis โ Insufficient pancreatic enzymes Bacterial overgrowth in the small intestine โ Bacteria consume B12 Long-term metformin use โ Interferes with B12 absorption Neurologic Symptoms in B12 Deficiency B12 deficiency causes nerve damage
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