Question

A 36-year-old woman presents with a 6-week history of tiredness, low mood, weight gain and hair loss. FBE shows Hb 102 g/L and MCV 102 fL. Serum B12 is low, folate is normal and intrinsic factor antibodies are positive. What is the most appropriate treatment?

Accepted Answer

Intramuscular hydroxocobalamin injections

Answer

Oral cyanocobalamin tablets

Answer

Folic acid tablets only

Answer

No treatment is necessary

Answer

High-dose vitamin C

Practice question

A 36-year-old woman presents with a 6-week history of tiredness, low mood, weight gain and hair loss. FBE shows Hb 102 g/L and MCV 102 fL. Serum B12 is low, folate is normal and intrinsic factor antibodies are positive. What is the most appropriate treatment?