Question

A 35-year-old woman presents with fatigue, pallor and a smooth, sore tongue. She follows a strict vegan diet. Blood tests show Hb 90 g/L, MCV 112 fL and low serum vitamin B12. What is the most appropriate initial management?

Accepted Answer

Intramuscular vitamin B12 injections

Answer

Oral iron supplementation

Answer

Oral folic acid only

Answer

Blood transfusion only

Answer

High-protein diet with no supplements

Practice question

A 35-year-old woman presents with fatigue, pallor and a smooth, sore tongue. She follows a strict vegan diet. Blood tests show Hb 90 g/L, MCV 112 fL and low serum vitamin B12. What is the most appropriate initial management?