A 51-year-old woman who is 10 years after gastric bypass presents with numbness and tingling in the distal lower extremities and significant anemia with neutropenia, but normal vitamin B12, iron, ferritin, and transferrin. Which nutritional deficiency is the most likely cause of these findings?

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Multiple Choice

A 51-year-old woman who is 10 years after gastric bypass presents with numbness and tingling in the distal lower extremities and significant anemia with neutropenia, but normal vitamin B12, iron, ferritin, and transferrin. Which nutritional deficiency is the most likely cause of these findings?

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