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VITAMIN B12

Function:
Vitamin B12 (cobalamin) is a general term used to describe a group of cobalt containing compounds with a particular structure. It is a cofactor for two enzymes. One enzyme converts homocysteine to methionine and the other enzyme helps convert one form of coenzyme A to another form of coenzyme A, a reaction that is essential in fat and carbohydrate metabolism.

Recommended Dietary Allowance:
For both men and women 2.4 mcg per day. The Institute recommends fortified foods or a supplement for those over age 50 because of evidence that up to 30% of the aging population is unable to absorb vitamin B12 satisfactorily.

Deficiency:
Deficiency results in a sore tongue, numbness and tingling in the extremities (worse in the legs), weakness, altered gait, and anemia. Prolonged deficiency can result in irreversible nervous system damage. People with pernicious anemia are lacking a stomach factor essential for absorption of B12. They can develop severe symptoms which if not recognized result in permanent disability and sometimes death.

Sources:
All plants, except for certain algae, lack vitamin B12. Meats and dairy products are the usual source. Ready to eat cereals, soy and milk supplements are frequently fortified and provide a rich source for some people.

Toxicity and UL:
Toxicity is not seen even with 5,000 mcg per day. No adverse effects from food or supplements have been documented hence there is no UL.

Recommendation:
Poor absorption is present in the aging population. Abnormal homocysteine levels and other deficiency effects can be prevented with 100 to 500 mcg per day hence I recommend supplementation in that range.

For more information visit:
http://osu.orst.edu/dept/lpi/infocenter/vitamins/vitaminB12/

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