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However, most cases are due to excess supplementation or due to a functional deficiency, where the person is actually deficient in B12

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When to Seek Immediate Care Contact your provider or go to the emergency room if you experience: Severe abdominal pain or a rigid, board-like abdomen High fever (above 101F / 38.3C) with abdominal pain Significant rectal bleeding or blood in stool Signs of bowel obstruction: severe cramping, vomiting, inability to pass gas or stool Sudden worsening of symptoms in a patient on biologic therapy (may indicate infection) About this Guide This Clinical Documentation Guide is published by CCO Academy and is intended for credentialed coding, CDI, and clinical documentation professionals