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Megaloblastic anemia, thrombocytopenia, leukopenia, and glossitis are other hematologic manifestations of B12 deficiency.[25,26,27] Patients who underwent malabsorptive operations are more likely to become B12 deficient in 1–9 years than restrictive surgeries.[21,28] Overall, three main ways lead to B12 depletion[29]: 1- limited food intake, especially animal protein, because of intolerance