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Kobayashi, S., Takahashi, C., Kuroda, T., Sugenoya, A., Iida, F

Persistent elevation should prompt an evaluation for occult disease once intake and interference have been excluded, and red flags such as unexplained weight loss or findings specific to organs are present

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Build a simple workflow: If anemia check ferritin, iron panel, B12, folate, reticulocyte count update final dx. Forgetting to Code the Underlying Condition Anemia rarely exists on its own

Unfortunately, some patients have difficulty absorbing an adequate amount of vitamin 12 because they do not produce enough stomach acid due to a condition called autoimmune atrophic gastritis which can cause a deficiency of vitamin B12