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GERD and Acid Reflux: Sleeve vs Bypass Effects GERD is a crucial consideration when choosing between procedures, as they have opposite effects on reflux symptoms

265 Methotrexate Methotrexate, a category X drug, is clearly teratogenic and should not be administered to women or men who are considering conception

If mechanism is unclear, should we code as D51.9 (unspecified B12 deficiency anemia)? Sequencing matters when multiple diagnoses appear on a single encounter