Patient presents with paresthesia and fatigue

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A 50 year old patient presents with paresthesia and fatigue. You draw a complete blood count which reveals macrocytic hyperchromic anemia. You add on a serum B12 and folate, both of which are low. You perform further testing, which reveals the patient has a lack of intrinsic factor and hence is diagnosed with pernicious anemia. He has no other comorbidites, to include alcoholism, celiac disease or other chronic medical concerns. Which of the below treatment options is appropriate for this patient? Group of answer choices B12, intramuscular, 1000 mcg once per week until B12 normalizes and then once monthly B12, oral, 1000 mcg daily All of these are appropriate treatment options Neither one of these is appropriate for this patient.

Reference no: EM133858394

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