Vitamin B12, or cobalamin, is a water-soluble vitamin vital for red blood cell production, nervous system function, and energy metabolism. It uniquely contains the metal cobalt and is naturally found in animal-based foods such as meat, fish, poultry, eggs, and dairy. Because B12 is limited in plant-based diets, vegetarians and vegans often require fortified foods or supplements to meet their needs.
Testing for vitamin B12 levels is especially important for older adults who may have absorption issues, vegetarians and vegans who don’t consume animal products, people with gastrointestinal disorders like Crohn’s or celiac disease, individuals who have undergone gastric bypass surgery, those diagnosed with pernicious anemia, and people on medications like metformin or acid-reducers that can affect B12 absorption.
Symptoms of vitamin B12 deficiency can be varied and may develop gradually, including:
If left untreated, B12 deficiency can lead to severe neurological damage and blood diseases.
The best sources of vitamin B12 are found in animal products, including meats like liver and beef, poultry, fish such as sardines and salmon, shellfish, dairy products, and eggs. For vegetarians and vegans, fortified foods like certain cereals and plant-based milks, as well as supplements, are reliable sources to maintain adequate B12 levels.
Vitamin B12 supplementation is beneficial for preventing anemia by aiding red blood cell formation, supporting nerve health, boosting energy levels, and improving mood and cognitive function. It’s also important for heart health by lowering homocysteine levels, a risk factor for heart disease. This is particularly crucial for older adults, vegetarians, vegans, and those with absorption issues, ensuring adequate intake of this essential nutrient. Consulting a healthcare provider before starting supplements is recommended.