Laboratory results

1. A macrocytic anemia usually is present, and leukopenia and thrombocytopenia may occur. Lactate dehydrogenase (LDH) and indirect bilirubin typically are elevated.

2. Vitamin B12 levels are low. RBC folate levels should be measured to exclude folate deficiency.

D. Treatment of vitamin B 12 deficiency anemia. Intramuscular, oral or intranasal preparations are available for B 12 replacement. In patients with severe vitamin B12 deficiency, daily IM injections of 1,000 mcg of cyanocobalamin are recommended for five days, followed by weekly injections for four weeks. Hematologic improvement should begin within five to seven days, and the deficiency should resolve after three to four weeks.

Vitamin B12 and Folic Acid Preparations

Preparation

Dosage

Cyanocobalamin tablets

1,000 pg daily

Cyanocobalamin injection

1,000 pg weekly

Cyanocobalamin nasal gel (Nascobol)

500 pg weekly

Folic acid (Folvite)

1 mg daily

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

Get My Free Ebook


Post a comment