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[17] Use in food [edit] Cyanocobalamin is added as an ingredient to fortify nutrition in products such as baby formula, breakfast cereals and energy drinks as well as livestock feed

Metformin use and risk of B12 deficiency increases with the dose and the duration depletion can be seen as early as 3-4 months after starting so it is important to attend for follow up blood tests and talk to your doctor

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