Vitamin B12 is a water-soluble vitamin that can be acquired by eating fish, meat, dairy products, fortified cereals and supplements. It is important for neurological functions, Red blood cell production and for the synthesis of DNA. There is no need to screen for vitamin B12 deficiency in asymptomatic adults.
High risk population for Vitamin B12 deficiency
Medical conditions & Medication use
- Pernicious Anemia
- Chron’s disease
- Postgastrectomy syndrome (Roux-en-Y gastric bypass)
- Atrophic Gastritis
- Bowel resection (Ileal resection)
- long term use of Proton Pump Inhibitors for gastritis or GERD such as (Nexium, Protonix, Prilosec)
- Long term use of anti histamines (Zantac, Famotidine) for Acid reflux
- Metformin use (Diabetic medication)
Decreased Intake of Vitamin B12
- Alcohol Abuse
- Elderly patient (Tea & Toast diet )
- Vegans or strict Vegetarians
Symptoms of Vitamin B12 deficiency
FOODS THAT ARE HIGH IN VITAMIN B 12
- Chicken, Beef, Turkey
- Organ meats such as liver
- Fish , Shell Fish
- Eggs
- Fortified cereal
- Milk, Yogurt, Cheese
Mediculous 