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vitamin b12 deficiency symptoms

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Q: Vitamin b12 deficiency recovery?
Background: I had been feeling dizzy, depressed, nauseated, confused and overall.. like I was dying! (for about 3 weeks, slowly getting worse). I went to my Doctors, got a blood test and found it was due to low Vitamin B12 intake so, I’ve been asked to take Vitamin B12 once daily – it’s been 2 days and I’m still suffering these symptoms (also been blessed with a high fever my body can’t rid of due to lack of red blood cells).

Just wondering if anyone has ever been in my shoes or has any information on
How long does it take to recover (feel better) from a Vitamin B12 deficiency?

I’m in college so it blows chunks to have this problem now – cannot concentrate in class and have missed so much because of it!
Thanks for your help guys!

A: The benefits from taking a particular supplement to overcome a particular deficiency usually take quite a while to show up. Three months is quite normal. You have to be patient and eventually you will recover and feel better.

Q: What is the normal range for vitamin b12?
My neurologist diagnosed me with vitamin b12 deficiency. My level was barely 100. She has me giving myself b12 injections for the rest of my life.

My question is I have been sick since November with mono and cmv. And my current doctor’s are looking into fibromyalgia, which I have all the symptoms for. But why would these other doctor’s who did bloodwork not notice the low vitamin b12.

Is a level of barely 100 really low??

A: Normal B12 range is 200 to 600, so your results are considered low.

The bloodwork that the other doctors did might not have included a B12 test. From reading, it’s my understanding that this is a separate lab test and not automatically included with other comprehensive lab tests such as a CBC (complete blood count) or a CMP (comprehensive metabolic panel). It seems to be a followup test ordered when other test results indicate a problem, such as a low hemoglobin (blood iron).

B12 is stored in the liver, so it can take some time (even years) for a B12 deficiency to show up after you’ve had problems absorbing it. (Usually it’s related to lack of intrinsic factor in the stomach.)

Mono (Epstein-Barr Virus) and CMV can certainly cause fibromyalgia-like symptoms. Or if you have fibromyalgia, EBV and CMV can make your symptoms much worse. With fibromyalgia, even one sleepless night can make your symptoms worse. I was diagnosed with fibromyalgia 10 years ago, and I have had EBV and CMV.

Q: Vitamin B12 deficiency question…………..?
I have been quiet run down recently.i have been to the doc about it and he has taken bloods and done several tests.each time he thinks he knows what it is it turns out negative on the tests.basically i am getting serious weakness attacks.my energy just crashes very quick and for no apparent reason.it sometimes is back to normal within 2 or 3 hours but sometimes it lasts a day or two.it is very extreme and i feel terrible when it hits.even when it doesnt hit fully i feel as if i should have more energy than usual.one symptom i have mentioned to my doc was my increase in appitite.whereas before i had the problem my breakfast,lunch and dinner pretty much kept me going.but since the problem has become extreme i notice myself getting serious hunger pangs in between meals where i feel so hungry i have to eat something or i feel i cant go on.it is affecting my college work and i want to get it under control.i was told today by a class mate that it sounds like vitamin b12 deficiency.
it does sound very much like it except everywhere i have looked up say that weight loss and loss of apitite are common with it.which is quiet the opposite of me.andone have any ideas.can you have it and get hunger pangs from it.
have already gotten negative results back for diabetes and hypoglycemia.can someone please just let me know if its possible to have it and not have loss of apitite.cause it would be a great weight off my shoulder if i could follow that up and see what my doc thinks.cheers

A: Have your doctor check you for diabetes and hypoglycemia.

I wish ou the best.

Q: I have just been diagnosed with vitamin B12 deficiency. (Pernicious Anaemia)..?
I knew from 2005 that I was classed as border line for this deficiency, but as I was struggling so hard with depression and anxiety, I gave it no thought. It was just a “name” that meant nothing at all to me.
There was nothing that could have made me feel worse than I felt.
Having changed doctors recently, this is one off the problems that have shown up after blood tests.
I have now started a course of injections (the only way to replace B12), but am worried this may course confusion with the symptoms of depression, as from what I have been told by the doctor (new) some of the symptoms are similar..
Is there anyone out there that has some “simple to understand” Information that could help me define the two??
I have suffered from depression for 8/9 years, which intensified in February 2003 I also suffer from anxiety and no longer go out on my own.
Unless to do the dreaded shop..

Will having these injections help me in a noticible way?
will I be able to cope more????

Can anyone give me a comprehensive answer..
I am confused..

Thank you to those who have answered my question.
I would like to add the fact that I have only been with this new doctor for a couple of months.
My worries are that they will have no idea of my other problems.
In fact when I did ask the question ” Have my case notes been sent on to you practice?
I was told that would not matter. We will start again from now.
I am so worried that they will not understand me, my worries, my problems, my illness.
I have just recieved a form I must fill in and return before a certain date to MEDICAL SERVICES.
Last time I had to fill in a form similar to this, I qualified for help in filling and returning the form. Now, because I am told, of the mulitude of people asking for help, the only help I (people in the same posisition as myself, can only get that help once or response is rejected)..
So worrying, having problems just copleteing the damn thing..
Need lots of information I don’t have at hand.. Need help!

A: I am b12 anaemic and was also suffering depression around the same time that I started my injections. (although I was on medication for depression I was still coping as usual because of being in college having a home and children) I was tired all of the time and suffered with twitching and aching joints. I know what you mean about the confusion of symptoms because anemia can cause aching joints and twitching and also can depression.
I know now that the relationship that I was in at the time had a lot to do with my depression and that when I left the relationship the twitching seemed to disappear and has time went on the tiredness got better too. What I am saying is that you need to try and see the cause of your depression and try and illiminate things that are not helping you. Try and take your walk to the shop everyday because you need to be out and about. take things slowly. Yes I think you will notice the difference when you have the injections but you need to try and conquer the two. Do you get shakey> sometimes if my injection is due I know because I will feel spaced out and strange, then it passes. Good luck but please help yourself with your depression by getting out more

Q: Vitamin B12 Deficiency – looking for information ?
I am currently under going tests for vitamin B12, I first had the test as part of blood tests to look at my fertility and the levels come back low, the doctor decided to send me for a re-test because this come back low just to see if it was a one off, the second test i had done, the levels come back even lower and she is now sending me for a third test and she is going to do another test in conjunction , i’m not sure what it is but she said it will take a month for the results to come back.

I am really worried because i’ve never had anything like this before, i’m not a vegetarian and i eat loads of meat veg and potatoes religiously as part of a balanced diet, i am 23 years old. I do smoke and i drink but i wouldn’t of thought i drink enough to cause this.

I am a little un educated about this which is where i think alot of my worry has come from, i don’t seem to have any symptoms and to be honest i feel perfectly healthy. I am worried about what this will do to my general health, what could be causing it and what i will have to have done to rectify it, i would really appreciate any information anyone can offer, I am scared because i know it can increase chances of stomach cancer, but as i say i’m not educated i don’t know the rates or the chances of any further ilnesses, please help!

A: These two websites are great to read through about vitamin B12 deficiency. The first link is most comprehensive list of symptoms i’ve found so far; the second is an excellent article by Dr Dash>>>

http://b12d.net/book/export/html/29

http://www.drdach.com/B12_Jeffrey_Dach_drdach.html

As for tests, a vitamin B12 serum test is not active B12 and also lab reference ranges are far too low which is why there is an epidemic of misdiagnosis.

Could It Be B12?: An Epidemic of Misdiagnoses>>>

http://www.amazon.com/Could-Be-B12-Epidemic-Misdiagnoses/dp/1884956467

A urinary methylmalonic acid test is specific for even the mildest of deficiencies. You can also have a methylmalonic acid blood test. A healthy B12 serum level is over 800pg/ml or 600pmol/l. A B12 serum test can be inaccurate due to various medications or alcohol. The second test your doctor would be requesting sounds like a methylmalonic acid test >>>http://www.easy-immune-health.com/mental-changes-from-b12-deficiency.html

Vitamin B12 deficiency is more common than doctors realise. In fact, a study at the Tuft’s university showed around 40% of healthy men and women of all ages, regardless of a diet high in vitamin B12, were deficient. >>>http://thyroid.about.com/cs/newsinfo/l/blb12anemia.htm

Vitamin B12 has to go through many processes to be absorbed so it’s usually malabsorption problems not diet, unless you are a strict vegetarian. This link goes through the causes of vitamin B12 deficiency>>>http://b12awareness.org/about-b12/causes-autoimmune-malabsorption-gastric-bypass/

At this point, you are lucky you have no symptoms, but this is affecting your health and as it is essential for DNA synthesis and methylation and to prevent homocysteine rising to toxic levels which causes inflammation – inflammation is the leading cause of heart attack and stroke and over 100 other diseases. A homocysteine test is another test to request. A level of around 6umol/l is healthy. This book is excellent to read more about the importance of homocysteine>>>

The H Factor Solution: (Homocysteine, the Best Single Indicator of Whether You Are Likely To Live Long Or Die Young) >>>

http://books.google.com.au/books?id=-lNQgR8bI0kC&printsec=frontcover&dq=h+factor+solution&hl=en&ei=qX-tTMGLPMa3cOCU8coN&sa=X&oi=book_result&ct=result&resnum=1&ved=0CDEQ6AEwAA

I have autoimmune pernicious anaemia – antibodies attacking the intrinsic factor (needed to bind to B12 to absorb in the gut) and parietal cells (stomach lining) and i have trialed various ways to boost my vitamin B12 levels. The most effective and pain free way is oral under the tongue B12 spray. If you can find a methycobalmin spray that is even better than cyanocobalmin as it is already methlylated.

Oral B12 equivalent to B12 injections>>>

http://www.diabeticneuropathy.org/oral-vitamin-b12.htm

Q: I beleive I may be suffering from a vitamin B12 deficiency?
My symptoms are:
Extreme tiredness that progresses during the day (lack of energy)
headaches
Chills (today Iwas in a heated building with kaki pants and a polo shirt and my entire body was shivering and covered in goosbumps though these did go away after I ate somthing for lunch, but I did have breakfast)
Chest and backpains
Depression
* during cold season sometimes get colds, but they always set in really bad in my sinuses and lungs and sometimes take 3 months to get over, but no other sickness sets in like that and is usually over in a day or two. (I don’t know if this is a symptom or not)
Now, I am only 14 and am in the 8th grade, so I am no doctor, I just looked up my symptoms and that is what I’ve read, I am open to any other ideas an educated person might have. I go in and out of these symptoms regularly and have been for two years now. If you agree with my diagnosis please list some foods rich in B12. If you have another idea please state it and if possible, some king of treatment for it
Thank you for your time

A: The test for deficiencies of vitamin B12 is fast and simple.

So before you start stuffing yourself with maybe unnecessary supplement , go and have a test.

If you have a healthy stomach, you should not have any deficiencies.
Look for your problems somewhere else.

Q: What causes Vitamin B12 and Vitamin D deficiency?
First i was diagnosed with vitamin B12 deficient anemia. Then a few weeks later I was diagnosed with vitamin D deficiency. Both of my doctors are perplexed because I eat enough of the foods required to have an adequate amount of both (not a vegetarian). And I get enough sun, I take my dog out for walks about 3 times a day. I was tested for Celiacs (blood tests only) and it came back negative. I have a ton of symptoms that are mostly generalized symptoms. Any other ideas?
I take a multivitamin already
and am not a vegetarian
i get enough sunlight!

A: There are two ways to become deficient in a vitamin or mineral:

1. To have too little come in

OR

2. To have a problem with absorbing what does come in.

If you are truly eating enough of the proper foods [you have not provided evidence either way] then the problem must be from malabsorption, or improper absorption of B12 by your body.

Malabsorption can occur in two places — either in the stomach from a lack of intrinsic factor or in the epithelial cells of the terminal ileum from Crohns or other disease.

There are a number of causes of malabsorption. The prolonged use of histamine H2-receptor blockers and proton pump inhibitors for ulcer disease also may cause impaired breakdown of vitamin B12 from food, causing malabsorption and eventual depletion of B12 stores. Recent studies have confirmed that long-term use of omeprazole can lead to lower serum vitamin B12 levels.

Other causes of vitamin B12 deficiency, although less common, should still be considered. If you have both vitamin B12 deficiency and chronic gastrointestinal symptoms such as dyspepsia, recurrent peptic ulcer disease, or diarrhea, it may warrant evaluation for such problems as Whipple’s disease (a rare bacterial infection that impairs absorption), Zollinger-Ellison syndrome (gastric tumor causing peptic ulcer and diarrhea), or Crohn’s disease. Intestinal surgery, strictures, or blind loops may have bacterial overgrowth that can compete for dietary vitamin B12 in the small bowel, as can infestation with tapeworms or other intestinal parasites. Congenital transport-protein deficiencies, including transcobalamin II deficiency, are another rare cause of vitamin B12 deficiency.

All in all, have your doctors keep checking to see what is causing the problem — something is and you just have to find out what.

Q: Can constipation cause vitamin deficiency?
I have recently been treated for years of continual constipation. I was only ‘going’ once a week in the end when i finally had a complete blockage. it was only short lived. My stomach swelled with drink (i was only drinking not eating as i was in sever pain and felt very ill) until i eventually started to throw up in the emergency room. i felt alot better after this and took a few weeks worth of diuretics to clear my system out. i am now ”regular”!! But at the same time my gastro symtpoms started, so did odd neurological symptoms. I am going to be tested for ms, looking likely, but am wondering about vitamin b12 deficiency and really want to know whether having fairly bad constipation for a long time would interfere with the proper absorption of nutrients or would it have no effect? thanks for your help!!

A: No. It might be another problem…your body might not be aborbing the nurtrients properly, or you might not be eating enough food with the nurtients you need.

Q: Can anyone help me figure out what these symptoms mean?
First of all, here are my symptoms…shortness of breath, numbness in my hands and feet, chest pain, rapid heart rate, swelling in my ankles (not pitting edema) mostly in the evening. I have had a stress test done, Echocardiogram, EKG, etc. The only thing that was said was that the center of my heart was slightly enlarged. My vitamin b12 level is only 258 on a scale from 211-911. Could all of these symptoms be related to vitamin b12 deficiency? Also, my chest also hurts when I touch it. I also was diagnosed with beginning stages of asthma and gerd. My blood pressure has been running approximately 138/72. Hoping someone could possibly give me some insight on everything. Thank you!!

A: When you don’t get enough oxygen your heart rate will increase to compensate. Are you treating your asthma? Get a regular doctor(internist* who can oversee your treatment.

Q: MS?? Epilepsy?? Vitamin D and B12 deficiency. Changes on MRI scan.?
I’ve tried to look it up. My sister has been having episodes of double vision frequently. Sometimes nausea accompanies them. She will have a splitting headache with vomiting for hours. She will have periods of deja vu and be unable to speak or move. These symptoms will last 45 sec. to 3 minutes. Afterward she slowly recovers and the recovery can take up to an hour until she feels completely normal. She has also had pains in her arms. I have noticed things about her too. Sometimes I’ll mention things like Hurricane Katrina and the flooding of New Orleans, and she won’t know what I’m talking about. I’m sorry but you have to have lived under a rock not to at least know what I was talking about. (Our oldest sister was diagnosed with epilepsy. She also has MTHFR and factor v leiden, and terrible trouble with blood clots.) My sister went to the doctor for her complaints. The doctor said she is severely deficient in vitamin D. He said she was low in B12 too. He said her MRI scan of her brain (with contrast) showed an abnormal part in her brain. She isn’t as good with medical term as I, and I haven’t seen the report, so I will tell you as much as I gleaned from her phone call. The doctor said it was in a lower part of the lobe, and it was near the brain stem. I’m sorry I’m not much clearer, but she couldn’t pronounce the words.

She lived in Maine for 40 years. I know the rate of MS is higher in the northern latitudes. She now lives in Florida. No she doesn’t like milk, and she doesn’t sunbathe, but with the strong sunshine you would think just by accident she would get the vitamin D she needs.

The doctor has sent her to a neurologist. She is waiting for the appt. The doctor said it could be MS, but he wasn’t sure.

Would MS symptoms be that quick? I know there are good and bad days, but I would never have thought MS because of the length of time of her “spells” with her inability to talk/move, and how fast she seems to recover. She does have double vision almost all the time. Sometimes she will feel fine for weeks, and then have headaches for months on end. She went to previous doctors but they blew her off. Has anybody had symptoms such as these? By the way, she is 41, and these symptoms started about 7 years ago. They have been increasing in frequency. She recently had a baby about 1 year ago.

Any feedback, suggestions, are appreciated!

A: I wouldn’t ignore the recommendation to supplement vitamin D and B12. They can give her a shot of B12 that would be better than any pill. They have 5000 units of D3 at the health food store. She should start both right away.

If you research the benefits of vitamin D, you’ll find it helps almost everything.

Q: should i get my Vitamin B12 checked again?
Heya, over the past week, I was on holidays in Lanzarote, and everyday i was constantly tired, which is very unlike me when im on holidays, the last time i felt so tired would have been a few months ago when i was told i had Vitamin B12 deficiency, i was then put on the injections for 5 weeks, and i felt great. The last time before i told i had it, i had headaches, constant tiredness, dizziness and felt light headed, and i had even collapsed, now i have some of those symptoms again, and when i sleep, i wake up randomly during the night and go back asleep, and normally once i go asleep, i don’t wake until morning, i was just wondering should i get them checked again or am i just getting ahead of myself?

A: Hello, I recommend you to have your vit b12 level checked again because you may need another series of injections. I work in a medical office as a medical assistant and we have patients who come in for B12 injections often. As far as I know most people need to have a regular regimen of the B12 injections. I myself had gastric bypass surgery a year ago and at this time take vit B12 pills that dissolve under my tongue instead of the shots. The shots work better however and I may be switched in the long run. Check with your primary doctor and see if you can have your level checked again. It’s nothing to fool around with, and always rememeber to never doubt your instincts. Just ask the doctor, demand any tests or treatments. Afterall doctors are only human and it’s YOUR health. Hope this has helped!

Q: Recommended Vitamin Daily Intakes?
Hello! I decided to start the New Year by increasing my daily amount of vitamins, and went to Wall Mart and bought three kinds of vitamin B (B-complex, B6, and B12). Knowing that I am already taking one multi vitamin daily and after reading the labels on the bottle it said they are for Energy Metabolism. Since I am working out and want to increase my metabolism (I eat a little bit more and gain weight), I decided to just go ahead and buy these pills. But I do not want to Over Dose myself. So, I would like to know what does it mean the search I did in the internet. See numbers below:
Age Recommended Allowance
25-50 Vitamin B6 Vitamin B12
mg mcg
Males 2.0 3.0/2.0

Biotin
(B-complex) = 30 µg Biotin in food and as a supplement No information found

Folate
(B-complex) = 400 µg Folate in food and as a supplement Doses larger than 400 µg may cause anaemia and may mask symptoms of a vitamin B12 deficiency

B6=Doses larger than 100 mg may cause numbness and tingling in hands and feet

B12= Doses larger than 3000 µg may cause eye conditions

B Complex = Doses larger than 400 µg may cause anemia and may mask symptoms of a vitamin B12 deficiency

And whats the difference btwn Folate and Biotin B-Complex?

Could someone, please, advise me how much should I take. For further info, the label states for each pill: (B6=100mg), B12 (1000mcg), B-Complex.

I thank you in advance for clarifying it and Happy 2010 to everyone.
Thanks, but can I take all three Bs I bought (B6,B12,Bcomplex) plus the multivitamin? The man at the counter in the pharmacy told me the dosages in these bottles are very little, but I have not explained to him what I was planning to do, maybe cos I was not sure if he was a real pharmacist! Any clues?

A: If you take a regular multivitamin it should indicate how much B Vitamins it has and there should be around 100%. And most B vitamins are normally used by another name, particularly on vitamin bottles. Niacin is, for example, B3.

And mcg is the same as µg, they mean microgram. µg is the more proper use.

Folate is the naturally occurring version of Folic acid (aka vitamin B9). A vitamin B complex normally has all 8 vitamin B’s including folic acid.

Most normal multivitamins already have 100 mg of B6 and around 6 mcg of B12, which is 100% of your daily need. And you really should not take more B6 if you take a multivitamin. The whole point of a multivitamin is to get many things at one time. It is not normally meant for people to take a multivitamin and just add on random extras without seeing a doctor. And a B complex has so many things and they are already in a multivitamin that you could not only be taking doses that are too high for one vitamin but for a bunch so it is a really bad idea to use because they really can cause problems in excess.

It is good you want to be more active and healthy but a normal multivitamin is all you need at most unless you have a genuine deficiency. Some of these vitamins have hundreds, even thousands of times more than you need. And the reality is that aside from a few exceptions taking vast amounts more than needed does not do anything and can harm you. Two Aspirin is safe and it will probably help and headache but taking 1,000 times more than the two pills could kill me or you.

And the B complex bottle might have said things about more energy and better metabolizing but there is really no evidence to back that up. Makers of supplements can put anything on a label but none of what is said is an approved use, it has not been evaluated for a specific use, in America adds for Vitamins might say “energy booster” in bold letters but there will be small print that basically says it has not been proven, especially in vast doses.

I am not a person who thinks all vitamins and supplements are junk but many are and most have little or no credible studies and evidence to back it up. Just stick to the multivitamin, see your doctor and ask what else you can safely take and if it is worth it. Don’t buy into the big bold print that says something too good to be true. Drug companies might not be the most moral sometimes and put profit over honestly but so do supplement makers. At least drug companies have to prove they drugs are fairly safe and effective.

Q: why isnt my vitamin working? IM 13!!!!!!!!!!?
recently(about a week and a half ago) i was doing some research and im pretty sure that i have a vitamin b12 deficiency. IM 13, why is this happening??? one because i dont eat beef, second all i eat is like junk food and diet soda because i dont want to gain weight and im never hungry enough to eat an entire meal(supposedly anorexia is a symptom) after i looked vitamin b12 deficiency i realized that i had ALL of the symptoms, and i knew that i wasnt being obsessed and imagining that i have the symptoms or anything. but i have been taking a multi-vitamin(has 100% of b-6, b-12, and folic acid) but none of the symptoms are going away! how much longer until it takes effect??? and my mom wont take me to the doctor so this is the only option i have and im pretty sure its not something else.

A: It Could Possibly Be that You have a very Severe Deficiency In B12 Meaning You Might Have To go to the doctor. It’s Very Bad that you can’t. VERY Bad. Try: Eating Meat ( you don’t have to eat full meals. little Portions Throughout the day can help) and exercise. Exercise is always Key. Even if you are on a diet you NEED to exercise. Just an hour a day. If you’re Consistent you may be able to help this. ( I’m not just Addressing your Deficiency but your lifestyle) Other than Actually Getting What you need The Best thing is to to the doctor. You might Have a Disease that causes this. I’m Not a Pro, But i know this can help in much more. Also Try Getting Organic Meat, Which is natural and has a Consistency of Vitamin B12. By the Way if you knew What you were Eating you wouldn’t wanna Eat it anymore.

Q: i have b12 deficiency, help?
iv been told i have a b12 deficiency 5 years ago iv been taking vitamin b12 i now have to be on them forever, any way iv only just started reading up about it, and i was reading the symptoms, and i come across you can have stomach problems, and iv suffered with my stomach for years from really bad pains and the doctos don’t no whats wrong iv had loads of tests and they still dont understand why i still get bad pains in my stomach, so do u think the problems are to do with my b12 please tell me, thanks

A: Look into physical diagnoses that inhibit absorption of B12. Celiac disease comes to mind. I know there must be others. It would also be good to consult with a specialist if you can afford it. If you feel you’ve done the MD specialist route to death, you could try an Ayurvedic doctor, an osteopath, or a naturopath. Good luck.

Q: reason for b12 deficiency?
i’m unable to absorb vitamin b12 but i cannot figure out the cause. before i see a doctor, does anyone know why i could possibly have a b12 deficiency. i’m not a vegan, i don’t have any gastrointestinal symptoms, and i’m not old.
i’m 19 years old. from what i read, this is a common complication among the elderly. i know it’s a malabsorption problem because i eat foods that contain b12. i read it could be a result of celiac disease, and i chose to stop eating wheat products, but like i said, i have no gastrointestinal symptoms. no stomach pains, cramps, diarrhea..

also, i full intend to see my doctor.

A: You cannot make that assumption without seeing a doctor. This is a problem at the cellular/metabolic level that needs tests that need to be done to confirm this. B-12 deficiencies are usually asymptomatic. To answer your question: one reason why vitamin b-12 cannot be absorbed is megaloblastic anemia, which is thought to be caused by problems during DNA synthesis. But to restate what i’ve said: DO NOT self-diagnose. If you are feeling like you are lacking energy there are far more likelier causes/suspects for this. Whatever it may be, it is pure speculation until you go to the Doctor. Good luck.

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