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Progress notes should explicitly state patient requires parenteral B12 due to intrinsic factor deficiency documented by positive anti-IF antibodies. This language connects diagnosis, treatment mechanism, and medical necessity in a single statement

Severe deficiency leads to megaloblastic anemia, where red blood cells become large and misshapen, causing symptoms like extreme fatigue, shortness of breath and pale skin

This is because the risk of toxicity and serious adverse effects from an overdose is rare

Pain After Exercise: Unlike many injuries that hurt during activity, plantar fasciitis pain usually worsens after exercise, as your foot cools down