28 year old G3 P2 at 16 weeks gestation reports extreme fatigue and her hemoglobin concentration is 7.5g / dL MCV is markedly elevated and measures 12.4 fL. Her peripheral blood smear is shown below. What is most likely etiolgy

Correct Answer: Folic acid deficiency
Description: During pregnancy, megaloblastic anemia is more due to folic acid deficiency than vitamin B12 deficiency.
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