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General Medicine General 39180624

A 20yr old 0 presented with Yo of fatigue and tiredness On investigation Hb 9gmt Mcv 10% FL . PS shows macrocytic RBC&;s with hypersegmented neutrophils what is the most likely diagnosis

A
Iron defficiency anemia
B
Pb poisoning
C
alcoholism
D
Anemia of chronic disease

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