Vitamin deficiency anemia

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Treatments and drugs

By Mayo Clinic staff

Treatment for vitamin deficiency anemia includes supplements and changes in diet:

  • Folate deficiency anemia. Treatment involves eating a healthy diet and taking folic acid supplements as prescribed by your doctor. In most cases, folic acid supplements are taken orally. The usual dose is 400 micrograms (mcg) daily, or 600 mcg each day for most pregnant women. If you can't absorb folate easily, you may need to take folic acid supplements for life.
  • Vitamin B-12 deficiency anemia (pernicious anemia). You can treat vitamin B-12 deficiency related to a poor diet with changes in your diet and vitamin B-12 supplementation, under a doctor's supervision. If your body can't absorb vitamin B-12, you'll either need lifelong vitamin B-12 injections or nasal B-12 spray. At first you'll need the shots or nasal spray as often as every other day. Eventually you'll need injections or the nasal spray just once a month. Prompt treatment is important, because neurological complications may become permanent if the B-12 deficiency isn't corrected within several months.
  • Vitamin C deficiency anemia. Treatment for this rare anemia is with vitamin C tablets. Take them as directed by your doctor. Additionally, increase your intake of foods and beverages that contain vitamin C.
References
  1. Schrier SL. Etiology and clinical manifestations of vitamin B12 and folic acid deficiency. http://www.uptodate.com/home/index.html. Accessed Jan. 19, 2009.
  2. Pernicious anemia. National Heart, Lung and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/prnanmia/prnanmia_all.html. Accessed Jan. 27, 2008.
  3. Folate. The Merck Manuals Online Medical Library: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec01/ch004/ch004c.html#sec01-ch004-ch004c-247. Accessed Jan. 28, 2009.
  4. Vitamin B-12. The Merck Manuals Online Medical Library: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec01/ch004/ch004i.html#sec01-ch004-ch004j-379. Accessed Jan. 28, 2009.
  5. Vitamin C. The Merck Manuals Online Medical Library: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec01/ch004/ch004j.html#sec01-ch004-ch004k-403. Accessed Jan. 28, 2009.
  6. Dietary supplement fact sheet: Vitamin B12. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/vitaminb12.asp#h3. Accessed Jan. 28, 2009.
  7. Dietary supplement fact sheet: Folate. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/folate.asp. Accessed Jan. 28, 2009.
  8. Food sources of selected nutrients. Dietary Guidelines for Americans 2005. USDA and Department of Health and Human Services. http://www.health.gov/dietaryguidelines/dga2005/document/html/AppendixB.htm. Accessed Jan. 28, 2009.
  9. Alcoholic beverages. Dietary Guidelines for Americans 2005. USDA and Department of Health and Human Services. http://www.health.gov/dietaryguidelines/dga2005/document/html/chapter9.htm. Accessed Jan. 28, 2009.

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March 20, 2009

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