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Once opened, refrigeration is usually recommended to prevent microbial growth, even if the unopened product did not require cold storage

You must code: Whether the patient has a crisis The exact type of Crisis Any associated conditions For example: D57.01 Sickle-cell disease with acute chest syndrome D57.03 With splenic sequestration D57.00 Without Crisis If the patient is NOT in Crisis, say it clearly in the note

Studies have shown that children with autism often have low levels of vitamin B12, which can lead to a number of neurological and behavioral symptoms

DOI: 10.3390/nu10020248

The deltoid (upper arm) is also an IM site but can be harder to reach on your own

These symptoms may point to anaemia caused by B12 deficiency