Vitamin B12: The Science Behind Why You Need It

In the present era, a growing number of individuals are adopting a plant-based diet for its health benefits. While this dietary choice offers numerous advantages, there are certain nutritional gaps that can arise if appropriate supplements aren't taken. Among these vital nutrients, vitamin B12 stands out as particularly important. Insufficient intake of vitamin B12 can have significant repercussions on one's health.

What is Vitamin B12?

Vitamin B12, also known as cobalamin, is an indispensable nutrient crucial for optimal bodily function. As a micronutrient, the body requires it in small quantities. It is predominantly found in animal-derived foods.

Vitamin B12 plays a pivotal role in red blood cell formation, the proper functioning of brain and nerve cells, and maintaining a robust immune system. This water-soluble vitamin dissolves in water and enters the bloodstream. Excess amounts are expelled through urine.

The body's ability to store vitamin B12 in the liver over several years makes deficiencies relatively rare. Nonetheless, vegetarians are at risk due to its absence in plant foods, necessitating the use of supplements.

Where can you get Vitamin B12 from?

Vitamin B12 is naturally found in animal foods. Good dietary sources of vitamin B12 include:

  • Poultry
  • Red meat
  • Eggs
  • Fish
  • Enriched soy milk
  • Dairy products like milk, cheese, yogurt
  • Fortified breakfast cereals
  • Fortified nutritional yeast

How much Vitamin B12 do you need?

The National Institute of Health suggests a daily Recommended Dietary Allowance of 2.4 micrograms (mcg) for individuals aged 14 and above.

Pregnant and lactating women require slightly higher amounts, with recommendations of 2.6 mcg and 2.8 mcg daily, respectively.

Vitamin B12, also known as cobalamin, is an indispensable nutrient crucial for optimal bodily function. (Image Courtesy- Unsplash)

What happens when you do not take an adequate amount of vitamin B12?

This leads to various deficiencies such as:

1. Anaemia- Inadequate vitamin B12 intake can result in megaloblastic anaemia, characterized by enlarged red blood cells that hinder their movement from bone marrow to the bloodstream. Symptoms include fatigue, weakness, pale skin, and shortness of breath.

2. Neurological Effects- Vitamin B12 is crucial for the myelin sheath that covers nerve cells.                 Deficiency can lead to altered movement, imbalance, and an increased risk of falling.

3. Cognitive Impact- Memory and concentration can be compromised, leading to "brain fog."

4. Bone Health- Low vitamin B12 levels can contribute to reduced bone mineral density, making bones fragile and susceptible to osteoporosis.

Additional symptoms of vitamin B12 deficiency include confusion, depressive manifestations, and potential vision impairment. While certain studies have suggested a potential link between vitamin B12 deficiency and an increased risk of COVID-19 among older patients, it's important to note that these studies have not yet undergone peer review.

Who can be at a risk of vitamin B12 deficiency?

  • People avoiding animal products

Individuals who adhere to a stringent plant-based diet face the potential of developing a deficiency in vitamin B12 due to its natural presence primarily in animal-derived products.

  • Elderly people

Gastritis primarily impacts the elderly population, leading to a situation where the body loses its ability to effectively absorb the naturally occurring vitamin B12 from food sources.

  • People with certain digestive disorders

Digestive disorders such as inflammatory bowel disease, Celiac disease, and Crohn's disease diminish the body's ability to absorb vitamin B12, leading to a deficiency in this essential nutrient.

  • People who had undergone gastrointestinal surgery

Surgical procedures such as weight loss surgery or stomach resection can disrupt the effective absorption of vitamin B12 from the diet.

  • Pregnant and lactating women

Vitamin B12 can be transferred from a mother to her baby through breast milk. Babies who are exclusively breastfed by mothers adhering to a plant-based diet could potentially experience a deficiency in vitamin B12. Insufficient vitamin B12 levels may contribute to growth and developmental delays in the baby.

  • People with chronic alcoholism

         In this state, the body's capacity to effectively absorb vitamin B12 from the diet becomes difficult.

How to overcome vitamin B12 deficiency?

Animal-derived foods are an option for consumption, while individuals adhering to a vegetarian diet can opt for vitamin B12-fortified cereals. Additionally, considering vitamin B12 supplements under the guidance of a medical professional is also recommended.

Are there any side-effects of vitamin B12?

Vitamin B12, a water-soluble vitamin, is typically excreted through urine once the body has utilized the necessary quantity. While excess consumption of vitamin B12 from dietary sources generally doesn't result in noticeable adverse effects, it's recommended to seek medical advice before initiating a regimen of high-dose vitamin B12 supplements.

When do you need a vitamin B12 test?

If you have concerns about being deficient in vitamin B12, it's wise to consult a doctor and arrange for a blood test. Testing for vitamin B12 levels is a standard procedure and can be performed at a reputable laboratory. The accepted normal range is 211 to 911 pg/mL, applicable regardless of age or gender.

 

Hence, for those on a plant-based diet or with absorption issues, vitamin B12 supplements offer a convenient means to boost intake. As a water-soluble essential nutrient, vitamin B12 contributes to preventing anaemia, supporting the nervous system, and maintaining bone health. While animal foods provide sufficient B12, supplements bridge the gap for specific dietary needs or absorption challenges.

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