Ace Your North American Pharmacist Licensure Examination (NAPLEX)

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A 67-year-old woman arrives to your clinic and complains of being tired, having diarrhea, migraines, and losing her appetite. You examine her and discover that she is having some cognitive issues. MCV: 109fL; Hgb: 9g/dL; MMA and homocystine are also increased according to the test results. Shilling test is successful. What is the best course of action to take next for this patient's care?

Obtain a Coomb’s test Iron supplementation for 4-6 months Lifelong folic acid supplementation Lifelong Vitamin B12 supplementation

Correct Answer:

Lifelong Vitamin B12 supplementation

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