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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

For this reason, it may be too strong to describe AOD-9604 as a proven fat-burning or fat-blocking treatment

The body tolerates high doses of B12 but taking too much over time may cause many unexplained symptoms

Using J3490 for cyanocobalamin is a coding error that typically results in a denial or claim delay, since payers expect J3420 for this drug

Follow-up with specialists If sciatic nerve injury or muscle damage is suspected, a neurologist or physical therapist may be needed for further evaluation and treatment