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Because stomach acid is required for the release of vitamin B 12 from the proteins in food, vitamin B 12 absorption is diminished

Cunningham AL et al

Guideline I.C.2 Sequencing of Cancer Codes with Complications When a patient is admitted due to a complication of chemotherapy (e.g., febrile neutropenia, dehydration from vomiting, chemotherapy-induced anemia), the complication is the principal diagnosis , not Z51.11

Critically, two of the efficacy studies were long-term investigations extending up to 24 weeks, providing meaningful data on sustained exposure safety
