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Interplay among BGA, TJPs, and intestinal permeability can be aggravated or triggered by stress, as found in neuropsychiatric disorders like anxiety, depression, impaired social interaction, and cognitive dysfunction, and even in neurodegenerative disease like Parkinson´s disease [13,14]

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Payer review teams flag D64.9 because it often signals incomplete documentation or lazy code selection — and the reimbursement difference between unspecified and cause-specific anemia codes can be significant, especially in risk-adjusted payment models like HCC