17th July 2020

A 23-year-old female presents to her GP with fatigue

A 23-year-old female presents to her GP with fatigue. On questioning, she reveals that she turned vegetarian 4 months ago, drinks a 175ml glass of wine a night and has heavy periods that tend to last for 3 days and require up to 4 pads a day. Her mother has thalassemia trait. 

The GP conducts a number of blood tests which are all normal apart from an Hb 103 and MCV 110. 

Which of the following is the most likely diagnosis?

Which is the SINGLE most appropriate option from the list below? Select ONE option only