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Or it may involve a general sense of feeling unwell

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The FY 2026 ICD-10-CM Guidelines make that explicit

Typical findings may include: Low hemoglobin Low hematocrit Elevated mean corpuscular volume (MCV) Enlarged red blood cells General laboratory ranges often include: Serum folate below 2 ng/mL may indicate deficiency Serum vitamin B12 below 200 pg/mL may indicate deficiency Additional testing may be recommended when results fall into borderline ranges