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Terminal ileum is the exclusive site for B12 absorption its inflammation or resection can cause profound megaloblastic anemia

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doi: 10.1111/j.1471-4159.2006.03693.x

In contrast, in some other Chinese provinces (e.g., Enshi), Se intake was very high (2.1446.69 mg/day), and endemic selenosis outbreaks appeared (56, 73)