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Since there is not enough intrinsic factor for vitamin B12 to bind with and it cannot travel to the distal ileum to absorb into the blood, the body cannot absorb vitamin B12 properly

Br J Haematol 193:894901 Uyoga S, Mpoya A, Olupot-Olupot P et al (2019) Haematological quality and age of donor blood issued for paediatric transfusion to four hospitals in sub-Saharan Africa