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Some groups are more likely to come up short, including older adults, people who eat little or no animal food, and those with digestive conditions that make absorption harder

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But most factory-farmed animals are kept indoors and never even see soil during their lifetimes, so would certainly be deficient without supplementation

ICD-10 classifies anemia by: Nutritional cause Vitamin deficiency Chronic disease Bone marrow disorder Blood loss Hemolysis Or unspecified when truly unknown Using D53.9, D51.9, and D64.9 interchangeably tells a payer that: The documentation is weak The coder ignored available labs The provider did not state the cause The claim lacks clinical reasoning That pattern triggers scrutiny

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Muhammad Wajid University of Okara and Prof