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So, doctors should watch B12 levels in patients on PPIs for a long time

[4] Patients should never adjust dosing of either medication without medical supervision and should report any concerning symptoms to their healthcare provider promptly

It is rare in plant-based products, so people with a vegan diet can often suffer from vitamin B12 deficiency and related symptoms

Collagenase is an enzyme that breaks down collagen in damaged tissues to help the body create new, healthy tissue

Chronic steroid use may also justify secondary diagnosis codes for osteoporosis (M81.0) , adrenal insufficiency (E27.49) , or hyperglycemia/steroid-induced diabetes query the provider for documentation support

Baseline labs: CBC, CMP, fasting insulin, lipid panel, CRP, HbA1c, and a full thyroid panel