Symptom Finder - Treatment of Pernicious Anemia
PERNICIOUS ANEMIA
1. Rule out of other causes of B12 deficiency (malabsorption syndrome, etc.).
2. B12, 2,500 μg sublingual or orally daily.
3. Alternatively B12 1,000 μg IM weekly × 4 weeks and then monthly for life.
4. Monitor reticulocyte and hemoglobin response.
5. If poor response, consult hematologist.
1. Rule out of other causes of B12 deficiency (malabsorption syndrome, etc.).
2. B12, 2,500 μg sublingual or orally daily.
3. Alternatively B12 1,000 μg IM weekly × 4 weeks and then monthly for life.
4. Monitor reticulocyte and hemoglobin response.
5. If poor response, consult hematologist.
