Question

A 37-year-old woman presents with fatigue and palpitations. Hb is 95 g/L, MCV 110 fL, and peripheral smear shows macrocytosis with hypersegmented neutrophils. B12 level is low; folate is normal. According to Australian practice, what is the initial treatment of choice?

Accepted Answer

Intramuscular hydroxocobalamin injections

Answer

Oral vitamin B12 tablets alone

Answer

Folate supplementation alone

Answer

High-protein diet only

Answer

Red cell transfusion in all cases

Practice question

A 37-year-old woman presents with fatigue and palpitations. Hb is 95 g/L, MCV 110 fL, and peripheral smear shows macrocytosis with hypersegmented neutrophils. B12 level is low; folate is normal. According to Australian practice, what is the initial treatment of choice?