Vitamin B12 deficiency is the most common nutritional deficiency, not only in developing countries, but in developed countries, too.      In this article you will find answers to commonly asked questions, like: What is the role of vitamin B12 in human body? What are the food sources of vitamin B12? What is the daily requirement of vitamin B12 in children and in adults? What are the deficiency symptoms of vitamin B12?



ROLE OF VITAMIN B12 IN HUMAN BODY


• Role in DNA synthesis and cell multiplication e.g. red blood cells

• Keeping the integrity of nerve cell membranes

• Role in protein metabolism





WHO IS AT THE RISK OF DEVELOPING VITAMIN B12 DEFICIENCY?


• Pure vegetarian (vegans): this is because vitamin B12 is present in the food of animal origin only.

• Elderly people: The chances of vitamin B12 deficiency increase with the growing age, even with adequate vitamin intake in the food. The most common causes in the elderly people with B12 deficiency are i) atrophic gastritis in ~60% ii) pernicious anemia in ~35%

• People with chronic gastrointestinal disorders e.g. Crohn's disease, H. pylori infection

• People who are in the habit of taking frequent antacid tablets and have repeated antibiotic courses

• Chronic alcoholics

• Pregnant and lactating mothers who have been running on sub-clinical B12 deficiency for years.

Note: stomach mucosa produces an intrinsic factor which combines with the B12 present in the food. This complex is absorbed through the distal part of the small intestine, the ileum. So any disorder affecting the stomach or ileum eventually affects B12 absorption, too.





DEFICIENCY SYMPTOMS OF VITAMIN B12


• Symptoms of Anemia: Megaloblastic anemia - Anemia is due to the formation of immature blood cells. The usual symptoms of anemia like paleness, tiredness, weakness after physical work, breathlessness, giddiness, lack of concentration may or may not be present.

• Symptoms which are Reversible: Peripheral neuropathy - Tingling, pricking, crawling sensations or numbness of hands and feet due to the degeneration of peripheral nerves

• Symptoms which are Partially Reversible: Subacute combined degeneration of the spinal cord (SCD) - When advanced up to the spinal cord level SCD presents as weakness in the lower limbs, unsteady gait, alteration in vibration and touch sensations

• Irreversible Changes Involving Brain: This occurs mainly in growing infants and elderly people. In infants it is manifested as defective brain development with cognitive dysfunction, reduced IQ, mental retardation, birth defects, and in the elderly It is seen in the form of brain atrophy with dementia.

• Miscellaneous symptoms: Problems with vision, altered taste and smell sensations, psychiatric problems like depression and mood fluctuations, inflamed tongue, incontinence

Note: vitamin B12 (cyanocobalamin) is often combined with vitamin B6 (folic acid) during treatment. The earlier the diagnosis, the better the prognosis and the chances of a permanent cure.

Daily requirement: 2-4 µg 

Excess vitamin is eliminated by the body.


               Top Ten Sources of Vitamin B12

Best Food Sources of Vitamin B12

Read More: Vitamin A, Vitamin B, Vitamin C, Vitamin D, Vitamin E


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