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It can stress the vascular endothelium (inner lining of blood vessels), leading to dysfunction

Disruptions in the intrinsic factor (IF) pathway, including impaired IF production due to autoimmune conditions (pernicious anemia), damage to the ileum from diseases like Crohns or celiac disease, or surgical resection of the ileum, can severely impair B12 absorption

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Drug administration is billed separately using the appropriate HCPCS J-codes (e.g., J2920 for methylprednisolone, J3301 for triamcinolone) when the payer allows

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