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D63.8 applies to anemia in other chronic diseases (rheumatoid arthritis, IBD, chronic infection) and requires the underlying condition code sequenced first
doi: 10.2147/dddt.s3225

This allows the body to adapt to delayed gastric emptying gradually

The irony, as you point out, is that this same rigidness does not apply to other medications that can be prescribed in a more flexible manner
