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It combines two medications: Bupropion affects brain chemistry to help reduce appetite and cravings Naltrexone helps control emotional eating and reward-driven eating behaviors

People with autoimmune disease called atrophic gastritis might not absorb enough Vitamin B12 because they make too little hydrochloric acid and intrinsic factor in their stomach

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When to Seek Immediate Care Contact your provider or go to the emergency room if you experience: Severe abdominal pain or a rigid, board-like abdomen High fever (above 101F / 38.3C) with abdominal pain Significant rectal bleeding or blood in stool Signs of bowel obstruction: severe cramping, vomiting, inability to pass gas or stool Sudden worsening of symptoms in a patient on biologic therapy (may indicate infection) About this Guide This Clinical Documentation Guide is published by CCO Academy and is intended for credentialed coding, CDI, and clinical documentation professionals