Vitamin B12 (Cobalamin)

Vitamin B12 (Cobalamin)

Summary

Vitamin B12, also known as cobalamin, is a vital nutrient crucial for various bodily functions. It plays a significant role in red blood cell production, neurological health, and DNA synthesis.

Overview

Vitamin B12 is an essential water-soluble vitamin that the body requires for proper functioning. It is particularly crucial for hematopoiesis (the formation of blood cellular components) and the maintenance of a healthy nervous system. The human body does not naturally produce vitamin B12, hence it must be obtained through diet or supplements.[1,2]

Monitoring vitamin B12 levels is pivotal for evaluating an individual's nutritional health. Adequate levels are necessary to prevent anemia, fatigue, weakness, and neurological problems.[3]

What should you know about Vitamin B12?

Understanding the normal range of vitamin B12 levels in the blood is crucial for evaluating an individual's nutritional health. For adults, the optimal vitamin B12 levels typically range from 150-650 pmol/l, though slight variations in this range may occur between different laboratories.

Deviation from this recommended range, either below or above, may indicate potential deficiencies or excess. Maintaining vitamin B12 levels within the optimal range is essential for overall well-being, as it supports  blood cells production, neurological health, and DNA synthesis. Adequate levels help prevent anemia, fatigue, weakness, and neurological problems.[1-3]

There are more possible levels of your blood test result:

  • Low Levels

If your vitamin B12 levels are below the optimal range, it may raise concerns, especially if you experience symptoms such as fatigue or dizziness. It may indicate conditions like macrocytic anemia, malabsorption, or hyperthyroidism (an overactive thyroid gland, hyperproduction of thyroid hormones). Consulting your healthcare provider for further evaluation and appropriate action is advisable.

  • Optimal Levels

Optimal levels of vitamin B12 refer to the amount of vitamin B12 in your body that is considered to be sufficient for overall health and well-being. 

  • High Levels

Vitamin B12 levels significantly above the optimal range may indicate certain leukemias, obesity and/or diabetes as well as kidney or liver problems. Consulting a healthcare provider for further evaluation and guidance is essential and strongly advised.

Genetics

Genetic variations in multiple genes are associated with vitamin B12 levels, influencing its absorption, transportation, and metabolic processes. These variations can lead to inadequate uptake, impaired transport, or altered conversion of vitamin B12. Understanding these genetic factors helps tailor strategies to maintain optimal vitamin B12 levels, considering an individual's unique genetic predispositions for effective personalized approaches.[4]

Recommendations

If your vitamin B12 levels deviate from the normal range, taking appropriate action is important to address potential deficiencies or excess. Here are some recommendations:[5]

  • Incorporate vitamin B12-rich foods such as meat, fish, dairy products,  fortified cereals and fermented vegetables into your diet. 
  • If you are following a plant based diet or you are a vegan, be aware that these population sub-groups, alongside with women of childbearing age, pregnant or lactating women are most at risk of developing vitamin B12 deficiency. 
  • Consider vitamin B12 supplements if recommended by your healthcare provider to ensure adequate levels.
  • Undergo periodic vitamin B12 tests to track your levels and adjust your diet or supplements as needed.
  • Consult your healthcare professional to develop a personalized plan based on your vitamin B12 levels and any genetic predispositions.
  • Maintain a healthy lifestyle with a balanced diet, regular physical activity, and appropriate stress management to support overall well-being and optimize vitamin B12 levels.

The information and tests provided on our website are for educational purposes only and are not a substitute for professional medical advice. Always consult with your healthcare provider before making health decisions. Our tests do not diagnose or treat diseases. Individual results may vary and should be discussed with a healthcare provider.

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Recommendations

If your vitamin B12 levels deviate from the normal range, taking appropriate action is important to address potential deficiencies or excess. Here are some recommendations:[5]

  • Incorporate vitamin B12-rich foods such as meat, fish, dairy products,  fortified cereals and fermented vegetables into your diet.
  • Consider vitamin B12 supplements if recommended by your healthcare provider to ensure adequate levels.
  • Undergo periodic vitamin B12 tests to track your levels and adjust your diet or supplements as needed.
  • Consult your healthcare professional to develop a personalized plan based on your vitamin B12 levels and any genetic predispositions.
  • Maintain a healthy lifestyle with a balanced diet, regular physical activity, and appropriate stress management to support overall well-being and optimize vitamin B12 levels.

Sources

[1] Langan RC, Goodbred AJ. Vitamin B12 Deficiency: Recognition and Management. Am Fam Physician. 2017;96(6):384-389.

[2] Calderón-Ospina CA, Nava-Mesa MO. B Vitamins in the nervous system: Current knowledge of the biochemical modes of action and synergies of thiamine, pyridoxine, and cobalamin. CNS Neurosci Ther. 2020;26(1):5-13. doi:10.1111/cns.13207

[3] Serin HM, Arslan EA. Neurological symptoms of vitamin B12 deficiency: analysis of pediatric patients. Acta Clin Croat. 2019;58(2):295-302. doi:10.20471/acc.2019.58.02.13

[4] Surendran S, Adaikalakoteswari A, Saravanan P, Shatwaan IA, Lovegrove JA, Vimaleswaran KS. An update on vitamin B12-related gene polymorphisms and B12 status. Genes Nutr. 2018;13:2. Published 2018 Feb 6. doi:10.1186/s12263-018-0591-9

[5] Office of Dietary Supplements - Vitamin B12. Accessed August 14, 2023. https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/

[6] Niklewicz A, Smith AD, Smith A, et al. The importance of vitamin B12 for individuals choosing plant-based diets. Eur J Nutr. 2022;62(3):1551-1559. doi:10.1007/s00394-022-03025-4

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