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Section I.C.6.b.4 states that the healthcare providers documentation must be considered as a guide to assigning these codes

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In dogs, vaccinations have been implicated in the development of immune-mediated haemolytic anaemia (Duval and Giger, 1996), and possibly a variety of other immune-mediated disorders, such as myasthenia gravis and immune-mediated polyneuropathies, although evidence to support these is absent or based on single case reports

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Serotonin production helps prevent low moods and symptoms of depression