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The good news is that vitamin B12 deficiency is common and usually straightforward to manage with appropriate medical support

Most physicians tend to assume that if the serum B12 is normal, there is no problem, but, within the lower range of normal, 30 percent of patients could have metabolic B12 deficiency, with high homocysteine levels

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After: ICD-10 M25.361, pain in right knee, with a clinical note documenting four weeks of physical therapy without improvement and the ordering physicians statement that the MRI is required for surgical evaluation