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Pernicious anemia D51.0 applies when the provider documents pernicious anemia (B12 deficiency anemia due to intrinsic factor deficiency, often associated with autoimmune gastritis)

Cardiovascular manifestations of intermediate and major hyperhomocysteinemia due to vitamin B12 and folate deficiency and/or inherited disorders of one-carbon metabolism: a 3.5-year retrospective cross-sectional study of consecutive patients

Our cobalamin B12 for dogs is formulated for small, medium or large dogs is manufactured in the United States with globally sourced ingredients in an FDA registered and GMP Certified facility.

It's a demanding standard, but it's the one that science requires