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Symptoms of HELLP syndrome due to vitamin B12 deficiency: report of seven cases. Journal de gynecologie, obstetrique et biologie de la reproduction 38.3 (2009): 226-230

ICD-10-CM Code D51.0 Definition and Clinical Description The CDC ICD-10-CM web tool defines D51.0 as Vitamin B12 deficiency anemia due to intrinsic factor deficiency. This medical classification captures a specific pathophysiology: autoimmune destruction of gastric parietal cells reduces intrinsic factor production, which prevents B12 binding and absorption in the terminal ileum

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Some more sensitive compounds don't tolerate the benzyl alcohol preservative well and are better suited to preservative-free sterile water or saline, even though this typically means the reconstituted solution should be used sooner rather than stored for weeks

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