Tag Archives: Testing for B12 deficiency

Vitamin B12 Deficiency Treatment

Vitamin B12 deficiency treatment methods vary according the severity of your symptoms, which country you live in, and what your healthcare provider allows.

Vitamin B12 blood test

Vitamin B12 deficiency treatment overview

How much vitamin B12 should I take?

The only way to treat vitamin B12 deficiency and reverse debilitating symptoms is to replenish vitamin B12 immediately. Taking B12 pills is not enough, as most people who suffer from this deficiency are not able to digest vitamin B12 from food or dietary supplements, due to a lack of intrinsic factor.

The standard dose for treatment is 1,000mic of cobalamin, to be taken according to your doctor’s recommendation. How much vitamin B12 you receive depends largely on your physician’s prescription and your willingness to purchase extra vitamin B12 supplements from your own pocket, outside your healthcare providers’ budget.

To give you an idea of the basic regimen for vitamin B12 deficiency treatment, consider this report by the PAS (UK-based):

“The results of our Survey of members showed that Of those individuals receiving B12 by injection, less than 1% were being treated more than once a day, 1% were being treated daily, 2% weekly, 9% monthly, 15% two-monthly, 50% three-monthly and 10% were being treated at some ‘other’ frequency.  10% of our members use a form of B12- Methylcobalamin – which is not licensed for use in Europe or North America.”

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Vitamin B12 deficiency is anemia

Vitamin B12 deficiency is a worldwide epidemic that can lead to pernicious anemia, a condition that was once lethal but it still disabling to this day.Symptoms of vitamin B12 deficiency in the earliest stages can include chronic fatigue, memory problems, depression, and painful numbness and tingling in the extremities. Untreated, as vitamin B12 levels plummet, symptoms worsen- an indication of a gradual breakdown in the nervous system, as evidenced in peripheral neuropathy.

Your body cannot produce enough red blood cells to sustain good health when vitamin B12 levels are low. To prevent pernicious anemia, vitamin B12 deficiency treatment must begin early-on, and continue for life.

Diagnosing vitamin B12 deficiency

A standard blood test can detect if your vitamin B12 levels are dangerously low. However, it may not warn you when vitamin B12 levels are dipping from a low to medium range, as the tests only serve to pick up potentially lethal cases of pernicious anemia.

According to the Pernicious Anaemia Society (PAS), nearly 44% of people with vitamin B12 deficiency are initially and wrongfully diagnosed with a different condition. About 22% suffer from their symptoms for two years before they ever get treatment for vitamin B12 deficiency.

This is unacceptable- if doctors would only pay more attention to the underlying symptoms, then their patients would be able to get their treatment immediately and cheaply.

Which types of vitamin B12 are the best?

The best kind of vitamin B12 to take is the kind that enters directly into your bloodstream and results in complete relief and recovery from your symptoms. Your doctor will prescribe vitamin B12 shots, but to reverse the symptoms, you may have to purchase more vitamin B12 online in order to top off your B12 levels.

Upshot- Don’t take chances with vitamin B12 deficiency. If your doctor doesn’t approve the amount of vitamin B12 that you need to restore energy and relieve pain symptoms, then it’s absolutely crucial that your take matters into your own hands.

Which type of vitamin B12 deficiency treatment do you currently use? 

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100 Symptoms of Vitamin B12 Deficiency Anemia

Don’t ignore possible symptoms of vitamin B12 deficiency- often, the only way to effectively catch vitamin B12 anemia before it becomes debilitating is by recognizing some of the earliest signs, such as constant daily fatigue, memory problems, depression, and painful numbness and tingling in the extremities.

100 Symptoms of Vitamin B12 Deficiency Anemia

Vitamin B12 blood tests may be helpful for diagnosing severe pernicious anemia (which used to be a fatal disease), but their track record for preventing symptoms of vitamin B12 deficiency in the moderate range is not reassuring. That’s because the range for detecting depleted vitamin B12 is set too low, producing inaccurate test readings when more vitamin B12 is needed to provide relief and prevent nerve damage.

If you experience any of the following symptoms, then it’s advisable to start a regimen of vitamin B12 supplements, and track results.

Symptoms of Vitamin B12 Deficiency

This is a complete list of all possible symptoms of vitamin B12 deficiency. You may have only a few or more of these symptoms. Vitamin B12 deficiency affects people differently, according to the level of depletion.

  1. High levels of homocysteine, which are linked with heart attack, stroke, and Alzheimer’s disease.
  2. Sore muscles, painful burning sensations.
  3. “Electric shock” sensations that shoot down your arms and legs whenever you bend over.
  4. Difficulty building muscle mass, even though you’ve been exercising regularly.
  5. Neural tube defect in newborn babies.
  6. Aching prickling and numbness in hands and feet caused by paresthesias.
  7. Peripheral neuropathy (nerve damage) caused by the degradation of myelin, a protective coating that shields your nerve cells.
  8. Poor, slow nerve reflexes.
  9. Quivering, trembling muscles.
  10. Muscle fatigue following light physical exertion.
  11. The need to take a few days to recuperate after even moderate exercise.
  12. Neck pain.
  13. Persistent headaches.
  14. Tight muscle pain in the arms and legs.
  15. Joint pain.
  16. Muscle stiffness each morning.
  17. Tender spots on your body which are often associated with fibromyalgia.
  18. Pain in elbows, shoulders, and hips from bursitis.
  19. Poor control or arm and leg movements.
  20. Frequent “clumsiness,” things always falling from your hands.
  21. Dizziness, unsteadiness, poor stability on feet.
  22. Difficulty walking in a straight line.
  23. Occasional vertigo, a sensation that the room is spinning.
  24. Confusion, getting perplexed easily.
  25. Muddled thinking, brain fog.
  26. Difficulty remembering words that are on the tip of your tongue.
  27. Forgetting names of familiar people.
  28. Irritability.
  29. Depressionthat lasts for months without any apparent cause.
  30. Chronic overwhelming daily fatigue, despite sleeping well.
  31. Poor concentration, ADD-like symptoms.
  32. Getting distracted easily.
  33. Difficulty finishing tasks or chores, finding it hard to stay organized.
  34. Mood swings.
  35. Memory impairments.
  36. Aggressive behavior that is new, unusual.
  37. Neurosis, fixations.
  38. Early-onset dementialinked with old age.
  39. Paranoia, peculiar suspicions.
  40. Hallucinations, deliriums.
  41. Recurrent panic attacks.
  42. Baseless anxiety, sense of doom.
  43. Strong tooth pain when drinking or eating very hot or cold foods.
  44. Sore tongue, “burning mouth” sensation.
  45. Red tongue that is abnormally slick, without bumps.
  46. Continuous canker sores, mouth ulcers.
  47. Cracked sores at both corners of your mouth.
  48. Dry mouth, unpleasant taste in mouth.
  49. Bad breath, halitosis.
  50. Altered palate, food tastes different.
  51. Strange thirst, constantly feeling dehydrated.
  52. Unusual metallic taste in mouth.
  53. Olfactory hallucinations, noticing odd scents that aren’t apparent to anybody else.
  54. Pain in bladder in the absence of uterine infection.
  55. Stomachaches that happen often.
  56. Nausea, recurring need to vomit.
  57. Constant stomach bloating.
  58. Difficulty swallowing.
  59. “Frog in throat” sensation
  60. Acid reflux that occurs regardless of diet.
  61. Constant heartburn, despite eating healthy.
  62. Flatulence.
  63. Loss of appetite.
  64. Constipation, difficulty having regular bowel movements.
  65. Everyday diarrhea.
  66. Esophageal ulcers.
  67. Dairy sensitivity.
  68. Unusual weight loss or weight gain.
  69. Reduced libido.
  70. Hormonal imbalances.
  71. Low sperm count.
  72. Erectile dysfunction.
  73. Infertility.
  74. Post-partum depression.
  75. Frequent miscarriages, spontaneous abortions.
  76. Poor development in newborn babies.
  77. Language impairments in children.
  78. PMS- pain and emotional problems prior to menstruating.
  79. Yeast infections that occur often.
  80. Early onset menopause.
  81. Face is abnormally pale in complexion.
  82. Heart palpitations throughout the day.
  83. Losing your breath easily.
  84. Weak pulse.
  85. Thyroid disorders, including hypothyroid or hyperthyroid.
  86. Sensory impairments, such as hypersensitivity to touch, fragrances, textures, flavors, lighting and noise.
  87. Sleep problems, such as insomnia or waking up easily.
  88. Sleep that doesn’t refresh your mind, you still feel exhausted in the morning.
  89. Night terrors.
  90. Vision impairments, such as blurring, double vision, sensitivity to light.
  91. Optic neuritis- nerve damage in the eyes.
  92. Constant ringing in the ears from tinnitus.
  93. Hyperacusis- extreme hypersensitivity to certain sounds, such as Styrofoam or scratching.
  94. Constantly feeling cold due to low body temperature.
  95. Bruising easily.
  96. Constantly itchy skin.
  97. Eczema, dry skin rashes.
  98. Premature grey hair.
  99. Hair loss not related to age.
  100. 100. Thin, ridged nails that break easily.

How’s your B12?

Sometimes, daily fatigue, dizziness, and muscle pain is a result of low vitamin levels, particularly in energy-boosting vitamin B12. A blood test will tell you if you need to increase your vitamin B12 intake.

Vitamin B12 can be found in most protein foods, such as beef, chicken, fish, eggs, and dairy products. If you have vitamin B12 deficiency, then you may require extra B12 outside of the food pyramid.

An easy way to maintain healthy vitamin B12 levels is to use vitamin B12 supplements that replenish cobalamin in the blood supply quickly and efficiently.

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Cure Vitamin B12 Deficiency in 12 Steps

Many people today suffer from vitamin B12 deficiency that hasn’t been diagnosed. To cure vitamin B12 deficiency, it’s important to understand how you got it and which B12 supplements are the best to relieve symptoms and prevent pernicious anemia.

Cure Vitamin B12 Deficiency in 12 Steps

1) Get a blood test- save results!

Some of the earliest symptoms of vitamin B12 deficiency are easily confused or misdiagnosed. Memory problems, fatigue, and depression are sometimes attributed to old age or mental illness without testing for low vitamin B12 levels; that’s why getting tested is an important first step in curing vitamin B12 deficiency.

A simple blood test can determine if your vitamin B12 levels are at a dangerous low. This is important to know, because severe vitamin B12 deficiency (pernicious anemia) can lead to irreversible nerve damage, mobility problems, handicaps, and sometimes death.

Once you get blood test results, save them in your personal files for future reference. You may need to repeat tests often, so it will help to have a record that you can use to track vitamin B12 serum levels.

2) Know the symptoms of B12 deficiency.

Sometimes, the symptoms you’re experiencing can speak volumes when blood test results show a “medium range” of vitamin B12 deficiency.

In fact, it’s not uncommon for patients to be turned away by their healthcare providers simply because their vitamin B12 levels were not low enough to qualify for supplementation.

Common symptoms of medium-low range vitamin B12 deficiency include:

  • Forgetfulness
  • Depression
  • Fatigue
  • Slow talking
  • Brain fog
  • Painful numbness and tingling in the extremities (hands and feet)
  • Anxiety
  • Pale complexion
  • Electric shock sensations
  • Tinnitus (ear ringing)
  • Muscle pain and spasms

3) Understand your diagnosis.

What’s the cause of your vitamin B12 deficiency? Is it because you follow a vegan diet? If so, then you have dietary vitamin B12 deficiency, and any quality vitamin B12 supplements can help reverse symptoms.

For many others, vitamin B12 deficiency is caused by vitamin B12 malabsorption, the inability to digest vitamin B12 from food or dietary supplements. In such a case, the only cure for vitamin B12 deficiency is through supplements that enter the blood stream directly, bypassing digestion in the stomach.

4) Get the right vitamin B12 supplements!

Vitamin B12 injections and other forms of B12 that are absorbed through the skin are the only option for vitamin B12 malabsorption.

The following are risk factors for vitamin B12 malabsorption:

  • Family history for pernicious anemia or intrinsic factor antibody
  • Gastrointestinal disorders
  • Autoimmune disorders
  • Gastric bypass surgery
  • Medication for diabetes, GERD, depression, or frequent infections
  • Alcoholism

5) Increase potassium and iron as neurological symptoms improve.

During your course of vitamin B12 supplementation, you may need to increase your intake of foods containing potassium. First, ask your doctor to test your potassium. Then, eat more foods that are rich in potassium, or take supplements.

6) Take as much vitamin B12 as you need.

It can take a while to reverse the signs of prolonged vitamin B12 deficiency. Understand that you’re perfectly safe in taking as much vitamin B12 as you feel you need, and that according to the FDA, these are no side effects associated with “too much vitamin B12.”

7) Take vitamin B12 supplementation into your own hands.

Your healthcare insurance may only agree to cover a minimal amount of vitamin B12- enough to prevent nerve deterioration and death, but not enough to cure constant fatigue, memory loss, irritability, and that general feeling of being out-of-sorts.

Many patients have to use over-the-counter vitamin B12 supplements, in addition to B12 injections that they receive by their doctor.

Don’t let your healthcare provider dictate how much vitamin B12 is enough- if you need more than the allotted dose, then you may have to shop online for quality non-dietary vitamin B12 in order to really boost energy and fight fatigue.

8) Make sure pernicious anemia is noted.

If your doctor believes that you are unable to digest vitamin B12 from foods, and that you need lifetime vitamin B12 supplementation, then make sure “pernicious anemia” is listed in your health records.

9) Check folate levels.

You may require more folic acid, which works in conjunction with vitamin B12.

10) Check iron levels.

Signs of fatigue can also be caused by low iron, so make sure your doctor monitors you for low and hyper iron levels.

11) Take more B vitamins.

Vitamin B12, folate, and vitamin B6 work together, so it’s a good idea to take B-complex vitamins along with your regular doses of vitamin B12.

12) Be your own advocate!

Unfortunately, many doctors refuse to believe that a set of debilitating neurological symptoms can be cured with a vitamin- even vitamin B12 deficiency! You may have to shop around for a more sympathetic doctor.

Also, you can push for more testing- other ways of diagnosing vitamin B12 deficiency include:

  • Serum MMA – (methylmalonic acid)
  • Urinary MMA
  • Active B12 (HoloTc or Holotranscobalamin)
  • Elevated homocysteine
  • MTHFR – methylenetetrahydrofolate reductase (gene mutation)
  • Gastric Parietal Cell Antibodies
  • Gastric Intrinsic Factor Antibodies
  • MCV level (mean corpuscular volume)


Do you have questions about vitamin B12 deficiency cures, symptoms, or diagnosis? Please feel free to comment below.

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