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Pre-existing diabetes in pregnancy Pregnancy / complicated by / diabetes / pre-existing. Per ICD-10-CM Guideline I.A.15 and reinforced by AHA Coding Clinic (2025), the with assumption is applied based on the Alphabetic Index structure not solely on explicit provider documentation

This typically represents increased activity in healing tissues rather than worsening of the condition

There is a risk of serious hypersensitivity reactions with semaglutide

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High-dose oral B12 can still be effective for those with mild absorption problems