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MediumHaematologyVitamin B12 deficiency neuropathyau-racpau-amc

A 62-year-old vegan man presents with numbness and tingling in his feet and difficulty walking. Examination reveals reduced vibration and position sense in the lower limbs. Haemoglobin is 100 g/L and MCV 110 fL. What is the most likely deficiency causing his neurological symptoms?

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