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The most common causes of macrocytic anemia are deficiencies in vitamin B12 or folic acid, which can result from poor dietary intake, malabsorption, or other medical conditions

The problem with ulcerative colitis is that you get a lot of inflammation, very high cell turnover, he added

This higher dose can be administered as a single 100mg injection in the morning or split into two 50mg doses taken 12 hours apart (morning and afternoon)

For these individuals, vitamin B12 injections can be a helpful solution

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222