In some cases, a lack of adequate levels of vitamin B12 may cause psychotic episodes and mood disorders until the deficiency is corrected. (18). The main reasons for a cobalamin deficiency are connected with inadequate absorption from food, or a diet lacking in vitamin b12. Your treatment plan depends on why you lack B12. Folic acid tablets are used to restore folate levels. But if you ignore your deficiency, here are some of the things that can happen. In these cases, it might be a good idea to continue taking a supplement, just in case. In one case, these low levels of B12 also resulted in extreme tiredness, hair changes, and hyperpigmentation. The reason why it is so important to correct a vitamin B12 deficiency is that a lack of this vitamin can lead to macrocytic anemia. (9), Many people who switch to a strict vegan or vegetarian diet are at risk of developing low B12 levels if they dont supplement their diet with B-group vitamins. Medicines to treat heartburn, also called gastroesophageal reflux disease (GERD), work by suppressing stomach acid. Your doctor can let you know which dose is right for you. (7). Theyre specialists trained to help you come up with a food plan you can stick to. Thats a substance that helps your stomach absorb B12 from food. Smita Patel, MD is triple board-certified in neurology, sleep medicine, and integrative medicine. https://www.aafp.org/afp/2017/0915/p384.html. Vitamin B12 is an important vitamin that your body needs to be healthy. Accessed Aug. 18, 2021. To avoid this interaction, take vitamin C two or more hours after taking a vitamin B-12 supplement. If left untreated for a long time, B12 deficiency can lead to paralysis that doesnt go away. Vitamin B12 Deficiency: Symptoms, Causes, Risks. American Family Physician: Vitamin B12 Deficiency: Recognition and Management., Office of Dietary Supplements (NIH): Vitamin B12., Merck Manual: Vitamin B12 Deficiency (Pernicious Anemia)., Clinical Medicine (Royal College of Physicians): Vitamin B12 deficiency A 21st century perspective., National Heart, Lung, and Blood Institute: Pernicious Anemia., World Journal of Gastroenterology: Nutrition in alcohol-related liver disease: Physiopathology and management., European Journal of Clinical Nutrition: Effects of moderate alcohol consumption on folate and vitamin B12 status in postmenopausal women.. 26th ed. (25), A similarly sized portion of beef kidney will give you 21 mcg of vitamin B12 which is 875% of your recommended daily intake (RDI) of vitamin B12. The neurological impact of poor levels of vitamin B12 can also affect your balance and gait. You can't properly absorb vitamin B12 without intrinsic factor, no matter how much you take in. However, even though you absorb such a small amount, that's still almost 40 times more than the amount that you need for the entire day (which is 2.4 micrograms). National Heart, Lung, and Blood Institute. Vitamin B12 Deficiency If left untreated, you may start to notice brain and nervous system symptoms. (17), In one case, neurological symptoms were the only symptom for one adult who had lower than normal levels of vitamin B12. These categories can cause a range of symptoms. Improvement may be gradual and may continue for up to six to 12 months. Experiencing a change in the way you feel and behave. Elsevier; 2021. https://www.clinicalkey.com. information submitted for this request. Most people have healthy levels of vitamin B12. Peter Pressman, MD, is a board-certified neurologist developing new ways to diagnose and care for people with neurocognitive disorders. 2013;11(1):7-15. doi:10.3121/cmr.2012.1112, Nagao T, Hirokawa M. Diagnosis and treatment of macrocytic anemias in adults.
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