Determine that the cause of anemia is specifically due to


Question: A 48 year old female presents for a complete physical examination: she has not seen a healthcare provider since her gastric bypass surgery 3 years ago. She denies any complaints and remains happy with her 97lb. weight loss. Thorough evaluation reveals a CBC significant for a hgb of 10.1 g/dL and hct of 30%. The MCV is 118m3 . The APRN determines that the cause of anemia is specifically due to a deficiency of:

 

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