Goal is to treat the underlying cause of the anemia, which may be due to diet or a malabsorption disease.
Oral or intravenous folic acid supplements may be taken on a short-term basis until the anemia has been corrected, or -- in the case of poor absorption by the intestine -- replacement therapy may be lifelong.
Dietary treatment consists of increasing the intake of green, leafy vegetables and citrus fruits
(CBC) shows anemia and large red blood cells.
A bone marrow examination is rarely necessary, but shows megaloblasts
serum folate levels
Sore mouth and tongue (stomatitis)
Pallor (skin paleness)
Cheilosis (scales and fissures of the mouth)
Poor diet: can be obtained by leafy greens, liver
Some medications, such as Dilantin (phenytoin), methotrexate interfere with the absorption .