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Anemia - B12 deficiency - Overview

Alternative Names

Macrocytic anemia

Definition of Anemia - B12 deficiency:

Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues.

Vitamin B12 deficiency anemia is a low red blood cell count due to a lack of vitamin B12.

See also:

Causes, incidence, and risk factors:

Your body needs vitamin B12 to make red blood cells. In order to provide vitamin B12 to your cells:

  • You must eat enough foods that contain vitamin B12, such as meat, poultry, shellfish, eggs, and dairy products.
  • Your body must absorb enough vitamin B12. Your body uses a special protein, called intrinsic factor, released by cells in the stomach. The combination of vitamin B12 attached to intrinsic factor is absorbed in the last part of the small intestine.

A lack of vitamin B12 in the diet may be due to:

  • Eating a vegetarian diet
  • Poor diet in infancy
  • Poor nutrition during pregnancy

A number of problems can make it difficult for your body to absorb enough vitamin B12:

  • Chronic alcoholism
  • Crohn's disease, celiac disease, infection with the fish tapeworm, or other problems that make it difficult for your body to digest foods
  • Pernicious anemia, which occurs when your body destroys cells that make intrinsic factor. Intrinsic factor is needed to absorb vitamin B12.
  • Surgeries that remove certain parts of your stomach or small intestine, such as some weight-loss surgeries
  • Taking antacids and other heartburn medicines for a long period of time
  • Reviewed last on: 1/31/2010
  • Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Antony AC. Megaloblastic anemias. In: Hoffman R, Benz Ej, Shattil SS, et al., eds. Basic Principles and Practice. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone;2008:chap 39.

Kaferle J, Strzoda CE. Evaluation of macrocytosis. Am Fam Physician. 2009;79:203-208.

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