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Patients with Mnire disease have changes in their inner ear fluid volume, called endolymphatic hydrops , which is believed to lead to swelling, distortion, and small tears in the membrane of the inner ear

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This higher occurrence stems from several age-related factors, including reduced gastric acid production (hypochlorhydria), pernicious anaemia (autoimmune destruction of intrinsic factor), and sometimes decreased dietary intake

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What ICD-10 code pairs with 90471 for routine immunizations