A fifty-two-year-old woman with long-standing alcohol use di…
A fifty-two-year-old woman with long-standing alcohol use disorder presents with fatigue and numbness in her feet. Examination shows decreased vibration sense in both ankles and a positive Romberg sign. Laboratory studies show macrocytic anemia. Her folate level is low. Her vitamin B12 level is in the low-normal range on the laboratory report. Which management plan is most appropriate in primary care?