Vitamin B12, or cobalamin, is a water-soluble vitamin crucial in various bodily functions. It is essential for the formation of red blood cells, neurological health, and the synthesis of DNA. Often overlooked, a deficiency in Vitamin B12 can lead to a range of health issues, including fatigue, anemia, and cognitive impairment.
Vitamin B12 is primarily found in animal products and small amounts in fruits and vegetables.
The recommended daily intake of vitamin B12 for adults is 2.4 micrograms (mcg) (1).
Symptoms of Vitamin B12 Deficiency
Vitamin B12 deficiency can cause a wide variety of symptoms, some of which are quite common and can be easily mistaken for other conditions. Here are some of the most common symptoms of vitamin B12 deficiency:
- Fatigue and weakness
- Tingling or numbness in the hands and feet
- Difficulty concentrating or thinking clearly
- Memory problems
- Loss of balance
- Depression
- Mouth sores
- Pale skin
- Shortness of breath
If you are experiencing any of these symptoms, it is important to see a doctor to get a diagnosis. Early diagnosis and treatment of vitamin B12 deficiency can help prevent serious complications, such as nerve damage and dementia.
How to Prevent B12 Deficiency
Preventing B12 deficiency is essential for maintaining overall health, as Vitamin B12 plays a crucial role in nerve function, red blood cell production, and DNA synthesis.
Here are some steps to help prevent B12 deficiency:
Include B12-Rich Foods in Your Diet
- Animal Products: Animal-based foods are the primary sources of B12. Include meat (especially liver), fish, poultry, eggs, and dairy products like milk, cheese, and yogurt in your diet.
- Fortified Foods: Vegetarians and vegans should consider consuming foods fortified with B12, such as breakfast cereals, plant-based milk (e.g., almond, soy), and nutritional yeast.
Consider B12 Supplements
If you’re at risk of B12 deficiency (e.g., older adults, vegetarians, vegans, or people with certain medical conditions), consider taking a B12 supplement. This is available in various forms, including tablets, capsules, and sublingual (under the tongue) forms.
For those with absorption issues, B12 injections or high-dose oral supplements might be necessary. Consult a healthcare provider for personalized advice.
Monitor Your Health
Keep an eye out for symptoms of B12 deficiency, such as fatigue, weakness, tingling or numbness in the hands and feet, balance problems, memory issues, and mood changes. If you experience these symptoms, seek medical advice.
Regular blood tests can help monitor your B12 levels, especially if you’re in a high-risk group.
Manage Underlying Conditions
Certain health conditions, such as pernicious anemia, Crohn’s disease, and celiac disease, can affect B12 absorption. Managing these conditions with the help of a healthcare provider can reduce the risk of deficiency.
Be Cautious with Medications
Some medications, like proton pump inhibitors (PPIs) and metformin, can interfere with B12 absorption. If you’re taking these medications, talk to your doctor about monitoring your B12 levels.
Limit Alcohol Consumption
Excessive alcohol consumption can impair B12 absorption and lead to deficiency. Limiting alcohol intake can help maintain adequate B12 levels.
By following these steps, you can reduce your risk of developing a B12 deficiency and maintain good health.
Top 10 Foods High In Vitamin B12
Here is a list of foods that are considered to be vitamin B12 sources:
- Beef liver: Beef liver is the richest source of vitamin B12, with 85 mcg per 100 grams. It is also a good protein, iron, and vitamin A source.
- Clams: Clams are another excellent source of vitamin B12, with 63 mcg per 100 grams. They are also a good source of protein, iron, and omega-3 fatty acids.
- Sardines: Sardines are small, oily fish packed with nutrients, including vitamin B12. They contain 4.8 mcg of vitamin B12 per 100 grams. Sardines are also a good source of protein, calcium, and omega-3 fatty acids.
- Eggs: Eggs are a good source of vitamin B12, with 0.9 mcg per 100 grams. They are also a good protein, choline, and vitamin D source.
- Milk: Milk is a good source of vitamin B12, with 1.2 mcg per 100 grams. It is also a good protein, calcium, and vitamin D source.
- Fortified cereals: Many fortified cereals contain vitamin B12. A serving of fortified cereal typically contains 2.6 mcg of vitamin B12. Fortified cereals are also a good source of iron and fiber.
- Nutritional yeast: Nutritional yeast is a deactivated yeast that is a good source of vitamin B12. One tablespoon of nutritional yeast contains 1.5 mcg of vitamin B12. Nutritional yeast is also a good source of protein and B vitamins.
- Seaweed: Seaweed is a type of algae that is a good source of vitamin B12. Nori, a variety of seaweed commonly used in sushi, contains 1.3 mcg of vitamin B12 per 100 grams. Seaweed is also a good source of iodine and iron.
- Tempeh: Tempeh is a fermented soybean product that is a good source of vitamin B12. One cup of tempeh contains 2.8 mcg of vitamin B12. Tempeh is also a good source of protein and iron.
- Quinoa: Quinoa is a grain that is a good source of protein and fiber. It also contains a small amount of vitamin B12, with 0.1 mcg per 100 grams.
Vitamin B12 Fruits
Here is a list of fruits that are considered to be vitamin B12 sources:
- Apples: Apples are a good source of fiber, vitamin C, and potassium, and they also contain small amounts of vitamin B12. They have been shown to have a variety of health benefits, including reducing the risk of heart disease, stroke, and type 2 diabetes.
- Bananas: Bananas are a convenient and portable snack rich in potassium, vitamin B6, and fiber. They also contain trace amounts of vitamin B12. They are a good energy source and can help boost your mood.
- Blueberries: Blueberries are packed with antioxidants and are a good vitamin C, fiber, and manganese source. They also contain trace amounts of vitamin B12. They have been shown to improve cognitive function, protect against heart disease, and reduce cancer risk.
- Oranges: Oranges are a good source of vitamin C, potassium, and fiber. They also contain trace amounts of vitamin B12. They are a refreshing and hydrating snack that can help to boost your immune system.
- Mangoes: Mangoes are a good source of vitamins A and C, fiber, and potassium. They also contain trace amounts of vitamin B12. They are delicious and nutritious fruits that can be enjoyed independently or added to smoothies, yogurt, or cereal.
- Jackfruit: Jackfruit is a tropical fruit that is a good source of vitamin C, potassium, and fiber. It also contains trace amounts of vitamin B12. It is a versatile fruit that can be used in both sweet and savory dishes.
- Guava: Guava is a tropical fruit that is a good vitamin C, fiber, and potassium source. It also contains trace amounts of vitamin B12. It is a delicious fruit that can be eaten fresh, juiced, or added to desserts.
- Kiwifruit: Kiwifruit is a good vitamin C, potassium, and fiber source. It also contains trace amounts of vitamin B12. It is a refreshing and nutritious fruit that can be eaten fresh, added to smoothies, or used in baking.
- Papaya: Papaya is a tropical fruit that is a good vitamin C, potassium, and fiber source. It also contains trace amounts of vitamin B12. It is a delicious and nutritious fruit that can be eaten fresh, juiced, or added to smoothies.
- Starfruit: Starfruit is a tropical fruit that is a good source of vitamin C, fiber, and potassium. It also contains trace amounts of vitamin B12. It is a delicious and nutritious fruit that can be eaten fresh, juiced, or added to salads.
Vitamin B12 Vegetables
Here are 10 vegetables that are high in vitamin B12:
- Asparagus: Asparagus is a good source of vitamin B12, with 0.2 mcg per 100 grams. It is also a good source of fiber, vitamin K, and folate.
- Beet greens: Beet greens are a good source of vitamin B12, with 0.3 mcg per 100 grams. They are also a good source of vitamins A and C, potassium, and iron.
- Broccoli: Broccoli is a good source of vitamin B12, with 0.2 mcg per 100 grams. It is also a good source of vitamins C and K, fiber, and potassium.
- Brussels sprouts: Brussels sprouts are a good source of vitamin B12, with 0.2 mcg per 100 grams. They are also a good source of vitamins C and K, fiber, and folate.
- Kale: Kale is a good source of vitamin B12, with 0.2 mcg per 100 grams. It is also a good source of vitamins C and K, fiber, and calcium.
- Mushrooms: Mushrooms are a good source of vitamin B12, with 0.5 mcg per 100 grams. They are also a good source of copper, selenium, and B vitamins source.
- Sea vegetables: Sea vegetables, such as nori and wakame, are a good source of vitamin B12, with 0.4 mcg per 100 grams. They are also a good source of iodine, iron, and calcium.
- Spinach: Spinach is a good source of vitamin B12, with 0.2 mcg per 100 grams. It is also a good source of vitamins A, C, and K, fiber, and iron.
- Sweet potatoes: Sweet potatoes are a good source of vitamin B12, with 0.2 mcg per 100 grams. They are also a good source of vitamins A and C, fiber, and potassium.
- Tomatoes: Tomatoes are a good source of vitamin B12, with 0.2 mcg per 100 grams. They are also a good source of vitamins A and C, lycopene, and potassium.
FAQ B12
B12 Level Range
Vitamin B12 levels are measured in picograms per milliliter (pg/mL). A normal vitamin B12 level can vary slightly depending on the lab that does the testing but generally falls between 200 and 900 pg/mL.
Level | Range |
Normal | 200-900 pg/mL |
Borderline | 200-300 pg/mL (may require further testing) |
Low | Below 200 pg/mL (indicates deficiency) |
How is Vitamin B12 deficiency diagnosed?
A simple blood test can measure your vitamin B12 level and diagnose a deficiency.
- Complete Blood Count (CBC): To check for anemia and abnormal red blood cells (megaloblastic anemia is common in B12 deficiency).
- Serum Vitamin B12 Level: Measures the amount of vitamin B12 in the blood. Low levels indicate a deficiency.
- Methylmalonic Acid (MMA) Test: Elevated levels of MMA can indicate a B12 deficiency, as MMA accumulates when B12 is lacking.
- Homocysteine Level: High levels of homocysteine can also suggest B12 deficiency.
- Intrinsic Factor Antibodies Test: To check for pernicious anemia, an autoimmune condition that affects B12 absorption.
How is Vitamin B12 deficiency treated?
Treatment typically involves B12 supplements, either orally or through injections, depending on the severity of the deficiency.
Can I take too much Vitamin B12?
Yes, it is possible to take too much Vitamin B12, but the risk of harm is generally low. Vitamin B12 is a water-soluble vitamin, which means that excess amounts are usually excreted in the urine rather than stored in the body. As a result, toxicity from B12 is extremely rare. However, it’s always best to consult your doctor before taking any new supplements.
Should I take a Vitamin B12 supplement?
If you are concerned about B12 deficiency, talk to your doctor. They can advise you on whether a B12 supplement is necessary based on your individual needs and risk factors.
Indeed, without a doubt, Vitamin B12 is a pivotal nutrient crucial for the seamless functioning of the body. Given that the primary sources of this vitamin are predominantly animal-based, individuals with dietary restrictions may encounter challenges in obtaining optimal levels from their preferred food choices.
Nevertheless, individuals facing this dietary challenge consider incorporating limited Vitamin B12 supplements and exploring fortified food alternatives to address the deficiency effectively.
is a registered dietitian with over 10 years of experience in the field of nutrition. She has a Master’s degree in Nutritional Science from Dhaka University and has worked with various clients to help them achieve their health goals through personalized diet plans. Mounota is passionate about educating people on the benefits of a healthy diet and lifestyle and has written extensively on the subject for various publications.
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