•Address the Cause(s)
poor diet
low in dairy foods especially full-fat, alcohol XS, unintentional weight loss >5%
•Dietary Advice
healthy
eating – milk, full-fat cheese, eggs, wholemeal bread
fortified
foods – some breakfast cereals
•
•Supplement with appropriate amounts of
nutrient
No separate
supplement use vit.B Co Forte X 3 = 6 mg
Yellow discolouration of
urine is expected and harmless
•
•
•Consider need for other nutrients
Assess
anaemia and iron (reduced absorption)
Dairy-free
diet consider calcium + multivit/multimineral
Consider
folate, zinc and other nutrients if alcohol XS
•Once main deficiency corrected
Treat >2 months
Clearance of angular
stomatitis within 4 weeks is expected
Caution if cancer
especially if rapid growing