Macrocytic anemia
A physical exam may show problems with reflexes or positive Babinski reflex.
The following tests will be done:
Chapman IM. Nutritional disorders in the elderly. Med Clin North Am. Sept 2006; 90(5): 887-907.
Rakel RE. Textbook of Family Practice. 6th ed. Philadelphia, Pa: WB Saunders; 2005:1232.