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After stomach or intestinal surgery: After procedures such as stomach reduction or the removal of parts of the intestine, the natural absorption of B12 is often permanently impaired

For example, treating macrocytic anemia due to vitamin deficiencies may take To To treat macrocytic anemia due to vitamin deficiencies, doctors following diets rich in folate, such as: fortified cereals leafy vegetables replacing vitamin B12 levels with either oral supplements or injections oral folic acid Other causes of macrocytic anemia may include conditions such as: anemia due to liver disease hypothyroidism myelodysplastic syndrome Treating the underlying conditions may also help to lower a persons MCV