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The deficiency was more severe than expected People with advanced B12 deficiency, especially with neurological symptoms, often feel rough at the start of treatment because the underlying problem was significant

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add C79.89 Superior vena cava syndrome I87.1 Hypercalcemia of malignancy E83.52 Site-specific symptoms (hemoptysis in lung cancer, hematuria in bladder cancer, rectal bleeding in colorectal, etc.) should be documented and coded only when they represent a separately addressable condition beyond the neoplasm itself