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Data summary Medical History with Nutritional Aspect Biochemistry with Nutritional Aspect Medications That May Adversely Affect Nutritional Status Summary of medications, nutrients and transporters Biochemistry Recent relevant biochemistry indicates - - high-normal B12 levels - evidence indicates elevated B12 levels diminish cognitive function therefore advisable to check B12 levels prior to next scheduled injection, and if still within high-normal range then consider reducing frequency of interventions from 3-monthly to 6-monthly

Aging: As people age, the ability of the stomach to produce stomach acid and intrinsic factors may decrease, which can affect the absorption of vitamin B12

Consequently, coders should regularly review guidance from CMS and professional coding organizations

however, since participants reported most changes had occurred by 3 months, this is probably a smaller effect

They have done MRIS, colonoscopy and endoscopy, and nerve testing which were all fine

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