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General Medicine General de3d5d68

An obese patient undergoes a gastric bypass procedure in order to lose weight but never returns for follow-up or continuing care. Three years later, he presents to an emergency room with fatigue, a glossy tongue, and a macrocytic and hyperchromic anemia. Which one of the following is deficient or malfunctioning in this patient, leading to this anemia?

A
Intrinsic factor
B
Gastrin
C
Iron
D
Lead

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