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Pickart, L., & Margolina, A
Megaloblastic anaemia can result from inadequate intake of B 12 , inadequate production of intrinsic factor (pernicious anaemia), disorders of the terminal ileum resulting in malabsorption, or by competition for available B 12 (such as fish tapeworms or bacteria present in blind loop syndrome)
PMC 3370288
Patients with pernicious anaemia have a slightly increased gastric cancer risk and may require baseline endoscopy if aged 50 or over
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