The best replacement for megaloblastic anemia is pernicious anemia.

The best alternatives to megaloblastic anemia are rated as following:
★★★★★  pernicious anemia
★★★  macrocytic
★★★  macrocytic anemia
★  non-megaloblastic anemia
★  microcytic anemia

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No companions for megaloblastic anemia have been suggested so far.
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megaloblastic anemia
pernicious anemia
macrocytic