Treatment FAQ

what is the treatment for b12 deficiency

by Dr. Eric West Published 3 years ago Updated 2 years ago
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If your vitamin B12 deficiency is caused by a lack of the vitamin in your diet, you may be prescribed vitamin B12 tablets to take every day between meals. Or you may need to have an injection of hydroxocobalamin twice a year.

What medications deplete B12?

What Depletes Vitamin B-12 & Folic Acid?

  • Chronic Alcohol Consumption. Whether it is a glass of red wine with dinner, or a beer at your local pub, under normal circumstances, enjoying a glass of wine or beer ...
  • Large B Vitamin Doses. ...
  • Pharmaceutical Drugs that Deplete Folic Acid. ...
  • Pharmaceutical Drugs that Deplete B-12. ...
  • Autoimmune Disease. ...

What foods prevent B12 deficiency?

Top 12 Foods That Are High in Vitamin B12

  1. Animal liver and kidneys. Organ meats are some of the most nutritious foods out there. ...
  2. Clams. Clams are small, chewy shellfish that are packed with nutrients. ...
  3. Sardines. Sardines are small, soft-boned saltwater fish. ...
  4. Beef. Beef is an excellent source of vitamin B12. ...
  5. Fortified cereal. ...
  6. Tuna. ...
  7. Fortified nutritional yeast. ...
  8. Trout. ...
  9. Salmon. ...
  10. Fortified nondairy milk. ...

More items...

What are the long term effects of B12 deficiency?

Vitamin B12 Deficiency & Its Long-Term Effects

  • B-12 and Myelin. Vitamin B-12 is essential in the function of your nervous system. ...
  • Deficiencies and Long-Lasting Nerve Damage. Low vitamin B-12 levels damage your myelin and interfere with nerve activity, leading to several neurological symptoms that can continue even after you treat your ...
  • Early Symptoms. ...
  • Preventing and Treating a Deficiency. ...

How to overcome B12 deficiency?

This is how much B12 you’ll find in a 3-ounce serving of these foods:

  • Cooked clams: 84.1 micrograms
  • Steamed mussels: 20.4 micrograms
  • Cooked Atlantic mackerel: 16.1 micrograms
  • Steamed Alaska king crab: 9.8 micrograms
  • Cooked wild rainbow trout 5.4 micrograms
  • Cooked salmon: 2.4 micrograms

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What is the best treatment for B12 deficiency?

You can change your diet to include vitamin B12-fortified grains, a supplement or B12 injections, or a high-dose oral vitamin B12 if you are deficient. Older adults who have a vitamin B12 deficiency will likely have to take a daily B12 supplement or a multivitamin that contains B12.

What happens when your body is low on vitamin B12?

B12 deficiency can cause a variety of symptoms, including fatigue, headaches, depression, pale or yellow skin, mental impairment, and pain and inflammation in the mouth and tongue. Many of the symptoms caused by low B12 levels are not specific to B12 deficiency, which can cause the condition to go undetected.

How long does it take to recover from B12 deficiency?

1:344:12How Long to Recover from Vitamin B12 Deficiency - YouTubeYouTubeStart of suggested clipEnd of suggested clipBut exactly how long does it take to recover from a b12 deficiency unfortunately recovery from b12MoreBut exactly how long does it take to recover from a b12 deficiency unfortunately recovery from b12 deficiency. Doesn't happen overnight. The process occurs gradually. And can take up to 6 to 12 months

How can I raise my B12 levels fast?

To increase the amount of vitamin B12 in your diet, eat more of foods that contain it, such as:Beef, liver, and chicken.Fish and shellfish such as trout, salmon, tuna fish, and clams.Fortified breakfast cereal.Low-fat milk, yogurt, and cheese.Eggs.

What are the warning signs of vitamin B12 deficiency?

Symptoms of vitamin B12 deficiencya pale yellow tinge to your skin.a sore and red tongue (glossitis)mouth ulcers.pins and needles (paraesthesia)changes in the way that you walk and move around.disturbed vision.irritability.depression.More items...

What is the main cause of vitamin B12 deficiency?

Pernicious anaemia is the most common cause of vitamin B12 deficiency in the UK. Pernicious anaemia is an autoimmune condition that affects your stomach. An autoimmune condition means your immune system, the body's natural defence system that protects against illness and infection, attacks your body's healthy cells.

Which fruit is rich in vitamin B12?

Fruits– Though fruits don't contain Vitamin B12; there are some which contain a very small amount of these vitamins like- Banana, apple, and berries....Top 10 Vitamin B12 foods for Vegetarians:FoodsVitamin B12 (% of DV)Fruits5%Fortified cereals100%Yeast (quarter cup)290%5 more rows•Nov 23, 2020

Is it good to take vitamin B12 tablets?

When taken at appropriate doses, vitamin B-12 supplements are generally considered safe. While the recommended daily amount of vitamin B-12 for adults is 2.4 micrograms, higher doses have been found to be safe. Your body absorbs only as much as it needs, and any excess passes through your urine.

Can I get a vitamin B12 injection?

Vitamin B12 Shots Are Very Effective Vitamin B12 shots are the most common way to prevent or treat a deficiency. The injections are prescribed by a doctor and given intramuscularly, or into muscle. Injections are usually given as hydroxocobalamin or cyanocobalamin.

What foods to avoid if you have B12 deficiency?

Research has suggested that the consumption of alcohol may reduce vitamin B12 levels. An older study indicated that moderate alcohol intake diminished vitamin B12 by 5% among “healthy, well-nourished, postmenopausal women.” Alcohol-related liver disease may falsely increase vitamin B12 test levels.Vitamin B12 foods: What to eat and avoid - Medical News Todayhttps://www.medicalnewstoday.com › articles › vitamin-b...https://www.medicalnewstoday.com › articles › vitamin-b...Search for: What foods to avoid if you have B12 deficiency?

What food is highest in B12?

What foods are high in vitamin B12?Vitamin B12 is found in: Milk. ... Fortified cereals. If you identify as a vegan or vegetarian, some cereals are a great source of vitamin B12. ... Eggs. “Egg yolks contain more vitamin B12 than egg whites,” says Taylor. ... Yogurt. ... Salmon. ... Tuna. ... Beef. ... Liver and kidneys.More items...•The Best Sources of Vitamin B12 - Cleveland Clinic Health Essentialshttps://health.clevelandclinic.org › the-best-sources-of-vita...https://health.clevelandclinic.org › the-best-sources-of-vita...Search for: What food is highest in B12?

Is B12 deficiency a chronic illness?

While some B12 deficiencies are caused by diet, the most common reason for low B12 levels worldwide is an autoimmune disorder called pernicious anaemia. This is a chronic form of low B12 that can have serious consequences on health if left untreated long-term.Chronic Form of B12 Deficiency Can Cause Major Health Issues, And Is ...https://www.sciencealert.com › a-chronic-form-of-b12-de...https://www.sciencealert.com › a-chronic-form-of-b12-de...Search for: Is B12 deficiency a chronic illness?

How to treat vitamin B12 deficiency?

Most people can be easily treated with injections or tablets to replace the missing vitamins.

What foods contain B12?

meat. salmon and cod. milk and other dairy products. eggs. If you're a vegetarian or vegan, or are looking for alternatives to meat and dairy products, there are other foods that contain vitamin B12, such as yeast extract ( including Marmite), as well as some fortified breakfast cereals and soy products.

Can you take folic acid for life?

But if the underlying cause of your folate deficiency anaemia continues, you may have to take folic acid tablets for longer, possibly for life. Before you start taking folic acid, your GP will check your vitamin B12 levels to make sure they're normal.

Can you stop taking B12?

Although it's less common, people with vitamin B12 deficiency caused by a prolonged poor diet may be advised to stop taking the tablets once their vitamin B12 levels have returned to normal and their diet has improved. Good sources of vitamin B12 include: meat. salmon and cod. milk and other dairy products.

Can vitamin B12 be given to a GP?

Your GP or nurse will give the injections. After this initial period, your treatment will depend on whether the cause of your vitamin B12 deficiency is related to your diet or whether the deficiency is causing any neurological problems, such as problems with thinking, memory and behaviour. The most common cause of vitamin B12 deficiency in ...

Do you need to monitor for vitamin B12?

Most people who have had a vitamin B12 or folate deficiency will not need further monitoring unless their symptoms return or their treatment is ineffective. If your GP feels it's necessary, you may have to return for an annual blood test to see whether your condition has returned. Page last reviewed: 23 May 2019.

Can you get cyanocobalamin injections on the NHS?

Cyanocobalamin injections are not routinely available on the NHS as hydroxocobalamin is the preferred treatment. But if you need replacement tablets of vitamin B12, these will usually be in the form of cyanocobalamin.

What is vitamin B12 deficiency anemia?

Vitamin B 12 deficiency anemia is a condition in which your body does not have enough healthy red blood cells, due to a lack (deficiency) of vitamin B 12. This vitamin is needed to make red blood cells, which carry oxygen to all parts of your body. Without enough red blood cells, your tissues and organs don’t get enough oxygen.

What causes vitamin B12 deficiency anemia?

Vitamin B 12 deficiency anemia is more common in people whose families come from northern Europe. It is caused by one of the following:

How is vitamin B12 deficiency anemia diagnosed?

This type of anemia is usually found during a medical exam through a routine blood test. Your healthcare provider will take your medical history and give you a physical exam.

How is vitamin B12 deficiency anemia treated?

Your healthcare provider will figure out the best treatment for you based on:

Living with vitamin B12 deficiency anemia

Depending on the cause of your vitamin B 12 deficiency, you may need to take vitamin B 12 supplements for the rest of your life. These may be pills or shots. This may seem difficult. But it will let you live a normal life without symptoms.

Key points about vitamin B12 deficiency anemia

With this condition, your body does not have enough healthy red blood cells, due to a lack (deficiency) of vitamin B

Next steps

Tips to help you get the most from a visit to your healthcare provider:

Why do we need to take vitamin B12?

And you should do that on a regular basis, because your body doesn't store vitamin B12 for a long time .

Why is it so hard to absorb B12?

Pernicious anemia, which makes it hard for your body to absorb vitamin B12. Conditions that affect your small intestine, such as Crohn's disease, celiac disease, bacterial growth, or a parasite. Alcohol misuse or heavy drinking can make it harder for your body to absorb nutrients or prevent you from eating enough calories.

What animal sources are B12?

Animal sources include dairy products, eggs, fish, meat, and poultry. If you're looking for a food fortified with B12, check the product's Nutrition Facts label.

Does B12 make your body healthy?

Vitamin B12 does a lot of things for your body. It helps make your DNA and your red blood cells, for example. Since your body doesn't make vitamin B12 , you have to get it from animal-based foods or from supplements. And you should do that on a regular basis, ...

Can vitamin B12 cause anemia?

If you have vitamin B12 deficiency, you could become anemic. A mild deficiency may cause no symptoms. But if untreated, it may lead to symptoms such as: Weakness, tiredness, or lightheadedness. Heart palpitations and shortness of breath. Pale skin.

How to treat vitamin B12?

Treatment for this condition involves replacing the missing vitamin B12. People who cannot absorb B12 need regular injections. When injections first are administered, a patient with severe symptoms may receive five to seven during the first week to restore the body's reserves of this nutrient.

What is the B12 supplement?

What is Vitamin B12 Deficiency? Vitamin B12 is needed to produce an adequate amount of healthy red blood cells in the bone marrow. Vitamin B12 is available only in animal foods (meat and dairy products) or yeast extracts (such as brewer's yeast).

How to reverse anemia?

The condition can be reversed by taking oral vitamin B12 supplements and adding foods containing B12. When the anemia is severe and the red blood cell count is extremely low, blood transfusions may be necessary for the first couple of days until the vitamin B12 injections begin working.

Why is B12 deficiency bad?

Vitamin B12 deficiency is defined by low levels of stored B12 in the body that can result in anemia, a lower-than-normal number of red blood cells. Vitamin B12 deficiency can develop for the following reasons: Absence of intrinsic factor, also called pernicious anemia — Intrinsic factor is a protein secreted by cells of the stomach lining.

What test is used to determine if you have vitamin B12 deficiency?

Laboratory tests will include: Standard blood tests to measure the level of red blood cells and check their appearance — In vitamin B12 deficiency, red blood cells are unusually large and appear abnormal.

How long does it take for B12 to show up in blood?

A response usually is seen within 48 to 72 hours, with brisk production of new red blood cells. Once B12 reserves reach normal levels, injections of vitamin B12 will be needed every one to three months to prevent symptoms from returning.

What are the symptoms of low B12 levels?

Nausea or poor appetite. Weight loss. Diarrhea. Yellowish tinge to the skin and eyes. If low levels of B12 remain for a long time, the condition also can lead to irreversible damage to nerve cells, which can cause the following symptoms: Numbness and tingling in the hands and feet. Difficulty walking.

Overview

Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information.

Evidence

Research on the use of vitamin B-12 for specific activities and conditions shows:

Our take

Most people get enough vitamin B-12 from a balanced diet. However, older adults, vegetarians, vegans and people who have conditions that affect their ability to absorb vitamin B-12 from foods might benefit from the use of oral supplements.

Safety and side effects

When taken at appropriate doses, vitamin B-12 supplements are generally considered safe. While the recommended daily amount of vitamin B-12 for adults is 2.4 micrograms, higher doses have been found to be safe. Your body absorbs only as much as it needs, and any excess passes through your urine.

Interactions

Aminosalicylic acid (Paser). Taking this drug used to treat digestive problems might reduce your body's ability to absorb vitamin B-12.

How to treat folate deficiency anemia?

Folate deficiency anemia treatment. Treatment involves eating a healthy diet and taking folic acid supplements as prescribed by your doctor. In most cases, folic acid supplements are taken orally. Once your body's level of folate increases to normal, you may be able to stop taking the supplements. But if the cause of your folate deficiency can't be ...

How to treat anemia related to vitamin C deficiency?

Treatment for anemia related to vitamin C deficiency is with vitamin C tablets. Additionally, you increase your intake of foods and beverages that contain vitamin C.

What test can be performed to determine if you have vitamin deficiency?

If blood tests reveal a vitamin deficiency, your doctor may perform other tests to determine the type and cause, such as: Antibodies test. Your doctor may draw a sample of your blood to check for antibodies to intrinsic factor. Their presence indicates pernicious anemia. Methylmalonic acid test.

Why do people with anemia have fewer red blood cells than normal?

People with anemia have fewer red blood cells than normal. In vitamin deficiency anemias related to a lack of vitamin B-12 and folate, the red blood cells appear large and underdeveloped. In advanced deficiencies, the numbers of white blood cells and platelets also might be decreased and look abnormal under a microscope.

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