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21st August 2020

A 60-year old patient presents to a general practitioner (GP) with the following symptoms

A 60-year old patient presents to a general practitioner (GP) with the following symptoms: tiredness, paleness, heart palpitations, yellowish skin colour, glossitis, and limb paraesthesia. According to the blood test results, his haematocrit is below the normal range and MCV is abnormally high.

Which of the following is the least likely cause?

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