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with the exception of lactate which is only measured in ventricles, all metabolite changes occurred in all listed regions (unless otherwise noted)

Clinical Indicators for Coders/CDI Post-surgical declining hemoglobin: When a patient has documented blood loss during surgery 300 mL, receives a transfusion, and has a sustained hemoglobin drop, but the physician has not documented a diagnosis of anemia, a CDI query is warranted

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Oral B12 supplements are typically effective, though in some cases sublingual (sprays) or injectable forms may be recommended