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routine blood tests to check red blood cell count and vitamin B12 levels Maintain a healthy lifestyle by adhering to a nutritious diet Avoid drinking and smoking If you encounter any new or deteriorating symptoms, get medical care Keep all appointments with your doctor as scheduled so you can track your progress and change your therapy as necessary If you are prescribed intrinsic factor replacement therapy, it is important to follow the schedule of injection as directed by the doctor Before modifying your treatment regimen, speak with your doctor If you develop any serious side effects or treatment-related problems, seek medical help right once