Key warnings before taking this medicine Your health care provider needs to know if you have any of these conditions / situations: Kidney disease Lebers disease Megaloblastic anemia An unusual or allergic reaction to cyanocobalamin, cobalt, other medicines, foods, dyes, or preservatives Pregnant or trying to get pregnant Breast-feeding

Clinical Indicators for Coders/CDI The following indicators, when present in physician documentation, laboratory values, or diagnostic reports, support assignment of a Crohns disease diagnosis and may trigger CDI queries for greater specificity: When imaging or operative reports document a fistula, abscess, or bowel obstruction in a patient with known Crohns disease, and the attendings Crohns diagnosis code lacks a complication specifier, query the provider: Does the patients current admission involve Crohns disease with [fistula / abscess / obstruction / rectal bleeding] as a complication of the Crohns, a separate condition, or both? This distinction determines whether to code K50.x13, K50.x14, K50.x12, or K50.x11 vs
It is known to increase the number of androgen receptors in muscles
However, animal safety data does not reliably predict human safety, particularly for immune-related reactions that are species-specific
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