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Another rule is that Z91.81 is for personal history. This is different from family history. Family history of falls (if a parent fell a lot) is not coded with Z91.81

Association between blood polyunsaturated fatty acid levels and depressive symptoms in breast cancer survivors

Accelerated thiamine metabolism is observed in hypermetabolic states, e.g., during withdrawal from alcohol, convulsions, infections, diabetes, or a rapidly developing neoplastic disease, especially of the gastrointestinal tract and the hematopoietic system [5153]