It directly affects the DRG the claim falls into and the reimbursement amount
Fatigue that doesnt lift with a full nights sleep Tingling, numbness, or a pins-and-needles feeling in the hands or feet A sore, red, or unusually smooth tongue Low mood, irritability, or trouble concentrating Unsteady balance, in more advanced cases Nerve symptoms, especially tingling in the feet, can show up before a blood count looks abnormal, so fatigue alone can miss the picture
When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention
Neurologic aspects of cobalamin deficiency
Jaime Snarski is our Medical Director, who combines bariatric expertise with a passion for preventive health & personalized weight management