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D51.9 - Vitamin B12 deficiency anemia, unspecified: This code is for instances when B12 deficiency anemia is diagnosed, but its specific cause hasn't been determined

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So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant