Megaloblastic Anemia: Therapy

General measures

• Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
• Review of permanent medication due topossible effect on the existing disease.
• Avoidance of environmental stress:
  • Nitrous oxide (nitrous oxide).
• Avoidance of drug use

Regular checkups

• Regular medical checkups

Nutritional medicine

• Nutritional counseling based on nutritional analysis
• Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
  • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
  • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
  • High-fiber diet (whole grains, vegetables).
• Observance of the following special dietary recommendations:
  • A vegetarian or vegan diet or even a one-sided diet can be the cause of megaloblastic anemia. Consequently, the diet should be versatile, varied and wholesome.
  • In the presence of vitamin B12 deficiency should pay attention to a high consumption of vitamin B12-rich foods such as liver, yeast, liver sausage, herring, salmon, eggs, cheese, cottage cheese and whole milk.
  • In case of folic acid deficiency, attention should be paid to the intake of folic acid-rich foods such as leafy vegetables, asparagus, tomatoes, cereals and liver. In women with megaloblastic anemia, folic acid should be given one month before pregnancy.
• Selection of appropriate foods based on the nutritional analysis.
• See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
• Detailed information on nutritional medicine you will receive from us.