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The ICD-10 code for macrocytic anemia is not a single code: B12 deficiency maps to D51.x, folate deficiency maps to D52.x, and each carries its own documentation requirements

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Furthermore, thyroid cancer has been shown to exhibit an association with overweight and obesity, implying that the population targeted for treatment with these drugs may have an increased predisposition to thyroid cancer development [28]

Malaguarnera M, et al

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The enhanced fat oxidation capacity develops before significant weight loss becomes visible