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ATP is generated primarily by glucose and fatty acid oxidation through the tricarboxylic acid (TCA) cycle and oxidative phosphorylation (OXPHOS) in the mitochondria

Over-the-counter options such as meclizine for nausea or loperamide for diarrhea can help, but check with your clinician before starting any new medicine, especially if you take other prescriptions

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Once testing reveals positive anti-intrinsic factor antibodies or other confirmatory markers, coders should update to the appropriate specific code-most often D51.0 for pernicious anemia

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