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It appears as a secondary diagnosis code on claims to inform payers and care teams of the patients surgical history, particularly during follow-up visits, nutritional counseling, or management of post-gastrectomy complications such as dumping syndrome or vitamin B12 deficiency

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Levels in the 400-500 range usually indicate a deficiency, especially if coupled with the symptoms above

Getting vitamin B12 injections to raise your B12 level to where it should be often improves symptoms like: If left untreated, vitamin B12 deficiency can lead to severe problems, including neurological (nervous system) damage that cant be reversed