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CPT states that the substantive part of the encounter using medical decision making (MDM): requires that the physician(s) or other QHP(s) made or approved the management plan for the number and complexity of problems addressed at the encounter and takes responsibility for that plan with its inherent risk of complications and/or morbidity or mortality of patient management

The liver also plays a role in the enterohepatic circulationa recycling process where B12 is secreted in bile and reabsorbed in the intestinewhich may be disrupted in advanced disease

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How to Prevent Vitamin B12 Deficiency Anemia You can prevent B12 deficiency by: Eating animal products, like meat, fish, eggs, and milk