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Of course it can. Remember absorbed vitamine B12 from the gut forms B12+transcobalamin II complex in the blood ? And your liver has to produce special transporters for this complex before your bone marrow can use the B12+transcobalamin II complex in making red blood cells. So liver disease reduces the transporter and subsequently impairs the blooding making machinery in bone marrow (as you must already know that B12 is needed to produce erythrocytes)

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Q: Can liver disease cause anemia
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