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diagnosis management cobalamin deficiency folate folicacid homocysteine ibd macrocytic nutrition vitamin vitaminb12 workup
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the ... red blood cell; MMA ... the most likely cause ... recovery also causes ... #Workup #AAFP
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
, Anemia • Prevalence ... Crohn's > UC Anemia ... If persistent macrocytosis ... (B12, MMA) for ... /other causes •
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... slowing, neuropathy, fatigue ... wt loss • If anemia ... hypersegmented neutrophils, macrocytosis ... - Elevated MMA
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