Low Vitamin B12 Levels - Medtick

Low Vitamin B12 Levels

What is it?

When vitamin B12 does not get absorbed in the intestine or when one does not eat enough vitamin B12 in their diet.

  • For vitamin B12  to be absorbed, a protein called an intrinsic factor needs to be produced by the parietal cells found in the stomach, this then binds to the vitamin B12.
  • A lack of intrinsic factor leads to pernicious anaemia.

According to the NIH, The Recommended Daily Allowance (RDAs)for vitamin B12 are as follows:

  • Age 0-6 months: 0.4 µg in males and females
  • Age 7-12 months: 0.5 µg in males and females
  • Age 1-3 years: 0.9 µg in males and females
  • Age 4-8 years: 1.2 µg in males and females
  • Age 9-13 years: 1.8 µg in males and females
  • Age ≥ 14 years: 2.4 µg in males and females, 2.6 µg in pregnant individuals, 2.8 µg in lactating individuals

Cause

Treatments

  • Stomach surgery and gastrectomy

Syndromes

Medication

Epilepsy drugs Vitamin B12 levels
Psoriasis, Arthritis, Cancers, Immunosuppressants:
Methotrexate (Maxtrex)
Vitamin B12 levels
Gout:
Colchicine
Vitamin B12 levels
Cholesterol lowering drugs:
Cholestyramine (Questran, Questran Light)
Colesevelam (Cholestagel)
Colestipol (Colestid0
Vitamin B12 level
Antacid Histamine Blockers (stomach ulcers, heartburn Vitamin B12 levels
Diabetes, Polycystic Ovaries:
Metformin (Glucophage, Bolamyn, Competact, Eucreas)
Vitamin B12 levels
Proton-pump inhibitors (heartburn, stomach ulcers Vitamin B12 levels

Symptoms

  • Headache which is on and off or a constant headache longer than 24 hours?
  • Nerve pain from forehead to edge of the nose by the eye?
  • Shooting pain across the forehead?
  • Facial pain, usually on only one side of the face at a time?
  • Eye twitch?
  • Balance and dizziness problems?
  • Confusion?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Difficult to concentrate and/or difficulty in concentrating and/or memory problems and/or poor understanding and judgement?
  • Difficulty sleeping and/or lack of sleep?
  • Irritated, depressed, anxiety and/or panic attacks?
  • Lack of energy?
  • Low mood and Depression?
  • Sensitivity to every day noise and/or ringing noise within and/or difficulty hearing?
  • Inflamed, hot, red, swollen and burning tongue?
  • Vision disturbance?
  • Swollen lymph glands and/or recurring mouth ulcers?
  • Metallic taste in mouth?
  • Heart palpitations and/or irregular heartbeat?
  • Short of breath or breathing difficulties?
  • Chest pain?
  • Nausea and sickness feeling?
  • Long term persistent indigestion and/or frequent heartburn and/or constant abdominal pain and swelling?
  • Feel full quickly when eating, trapped wind and burping?
  • Abdominal pain?
  • Diarrhoea?
  • One find passing stools difficult (can be painful) and constipated?
  • Cold hand and feet which can be numb and painful?
  • Nerve shock-It can be felt coming on a few seconds before it hits, and then it hits almost like a mild but deep electric shock and quickly subsides. It can occur at the side of either hip or on either side of the upper body, along the ribs?
  • Tingling along the back of one or both thighs?
  • Pins and needles (paraesthesia) on hands and fingers?
  • Numbness on leg and foot area?
  • Tingling pain may begin to occur along the outside edge of the hand, starting from the wrist. This pain occurs when the wrist is flexed backward?
  • Walking difficulties?
  • Yellow tinge to skin?
  • Skin colour changes (dark patches)?
  • Weight loss?

Nail changes:

Complications /Information to beware of/General tips:

Do not wait, phone for an ambulance if have or develop:


Further tests are required for:

Megaloblastic anemia

  • Condition in which the bone marrow produces unusually large, structurally abnormal, immature red blood cells (megaloblasts) and this cause a lack of folic acid and/or vitamin b12, hence further tests are required to differentiate from other forms of anaemia especially pernicious anaemia which is a lack of vitamin b12.
  • These blood cells are very slow moving have low amount of haemoglobin  and not as many of the red blood cells are produced resulting in anaemia.
  • If untreated in infants it can lead to: Hereditary orotic aciduria.

Anaemia can also be caused by:


This condition can lead to:


Tests

If have any of these conditions one should have a test for celiac disease.


Food sources include:

  • Meat
  • Salmon
  • Cod
  • Mackerel
  • Milk and dairy products
  • Eggs
  • Vegetarians – should consider vitamin supplements
  • Fortified- breakfast cereals

This condition can show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Low Vitamin B12 Levels in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).