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