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The type of anemia associated with B12 deficiency is known as pernicious anemia and occurs when the vitamin cannot be absorbed from the digestive tract into the bloodstream in adequate amounts

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But release of vitamin B12 from its protein coat is only the first step in the absorption of the vitamin

Malabsorption (insufficient intake of vitamin B12in the intestine) due to insufficient production of intrinsic factor (a protein that is formed in the gastric mucosa and is required for the absorption of vitamin B12), Diseases in the end section of the ileum (part of the small intestine), e.g