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Increased intestinal permeability is real, measurable, and well established in mainstream medicine

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8,9 Manifestations Vitamin B 12 deficiency affects multiple systems, and sequelae vary in severity from mild fatigue to severe neurologic impairment 1,2,6,10 (Table 2 4,10 )

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Common Pitfall Malnutrition NOS or malnutrition unspecified defaults to E46 , which carries no HCC credit under CMS-HCC v28

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This schedule exists for clinical safety reasons and shouldn't be altered to accommodate BPC-157 timing

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