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ICD-10 Code D64.9 refers to Anemia, Unspecified. This is used when a patient is found to be anemic, but the exact cause whether iron-deficiency, chronic disease, or B12 deficiency is not yet known

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Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy