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This can happen if the body is not used to the increased levels of the vitamin

Apply ICD-10 Sequencing Rules Correctly When documented as a manifestation of another condition, ICD-10 guidelines may require the underlying condition to be coded first, followed by the appropriate anemia code

This is the central regulatory problem that full FDA approval would need to solve and it is the reason PCAC reviews for peptides like BPC-157 often hinge on available safety data rather than efficacy evidence from controlled human studies