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General Medicine General 8ba1d638

A 69-year-old woman is feeling fatigued. Blood work reveals hemoglobin of 9.0 g/dL (14 g/dL 1 year earlier). She has no other symptoms. Her blood film is shown in Figure given below. Which of the following is the most appropriate next diagnostic test?

A
serum B12 level
B
hemoglobin electrophoresis
C
colonoscopy
D
bone marrow aspiration

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