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This localized hypoxia (lack of oxygen) forces cells to switch to anaerobic energy production, generating excessive lactic acid and causing rapid, severe muscle fatigue even after minimal physical exertion

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It is, therefore, important to tightly regulate its levels, whichif elevated could disrupt cardiovascular homeostasis and increase blood pressure

Quick reference for the subcodes: R13.10: unspecified, the common starting code R13.11: oral phase, bolus control R13.12: oropharyngeal phase, billed most often R13.13: pharyngeal phase, aspiration focus R13.14: pharyngoesophageal phase, the UES code R13.19: other, cervical and neurogenic ASHA's ICD-10 reference confirms the R13.1 series for dysphagia and flags when the I69 sequelae codes take over for post-stroke cases, which is where we're headed next