The Adult-gerontology acute care

When examining a new patient in the hospital, the Adult-gerontology acute care nurse practitioners finds impaired vibratory and position sense as well as spastic weakness. Upon questioning, he also reports paresthesia in his fingers and toes. When reviewing the laboratory data, the Adult-gerontology acute care nurse practitioners finds hemoglobin of 9. What is the most likely cause of this patient’s anemia?

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