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The AAFP recommends injectable therapy when rapid improvement is needed for severe deficiency or serious neurologic involvement

Hematocrit and reticulocyte counts should be repeated daily from the fifth to seventh days of therapy, and then frequently until the hematocrit is normal

Natural dietary sources, such as meat, fish, poultry, dairy products, fortified cereals, and nutritional yeast, also contribute to maintaining an adequate intake of essential nutrients