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Reducing or stopping alcohol also helps and allows more of the other vitamins to be available for metabolism
Pathogenesis of PDN is poorly understood, but it is quite clear that hyperglycemia plays a vital role in the development of this diabetic complication

Nat Commun 6, 8289
Without this specificity, coders face a dilemma: assign the more general D51.9 (unspecified B12 deficiency anemia) or query the provider