Vitamin B12 is an important B vitamin required for the formation and maturation of red blood cells and proper functioning of the nervous system, bone marrow and gastrointestinal tract. Vitamin B12 works closely with folic acid and these are often supplemented together. 

Please note that all patients must have at least one initial consultation with Dr Watkins and relevent assessments done before a treatment protocol for B12 injections is established. 

You may need to be assessed for Vitamin B12 deficiency if you experience any of the following:

• Fatigue/low energy
• Paleness, weakness, shortness of breath
• Dizziness, rapid heart rate
  
• Celiac Disease
• Irritable Bowel Diseases
• Poor digestion/food intolerances
  
• Numbness, tingling
• Vibration and position senses altered
• Vegetarian/Vegan diets
• Mood swings

What causes Vitamin B12 deficiency?

Vitamin B12 is found primarily in animal products which is why diets restricted in these often require additional B12 supplementation. In order to absorb Vitamin B12, the body also requires intrinsic factor, a substance that is normally produced in the lining of the stomach. Any condition that alters stomach acid levels or damage to the gastrointestinal lining can alter Vitamin B12 levels. These conditions may include long-term use of Proton Pump Inhibitors, Irritable Bowel Disease, Celiac disease, untreated food allergies/sensitivities, chronic inflammation of the gastrointestinal system and infections of H.pylori. Liver conditions may also impact the storage of Vitamin B12. 

Symptoms of chronic Vitamin B12 deficiency can manifest as fatigue, numbness and tingling because red blood cells are unable to mature properly. Poor maturation leads to large red blood cells along with white blood cells that have abnormal nuclei.  Pernicious Anemia is an autoimmune condition that destroys intrinsic factor can lead to Vitamin B12 and folic acid deficiency.

How is Vitamin B12 supplemented?

Vitamin B12 can be supplemented orally or injected. In either instance, the best absorbed form is Methylcobalamin. This is the only type used and recommended in the clinic. The thought is that injections are much better absorbed into the body as they bypass the digestive system and the need for intrinsic factor. However, sublingual Vitamin B12 supplements are widely available and well absorbed by those without any clear digestive concerns. Both Vitamin B12 injections and oral supplements are available at the clinic.

Proper assessment of Vitamin B12 deficiency is important before ruling out other causes of symptoms. A blood test is available to determine Vitamin B12 levels. This is often done in conjunction with assessment of folate levels. In cases of chronic fatigue, paleness, and weakness  - Iron deficiency anemia, hypothyroid and other conditions also need to be investigated. Where numbness, tingling, vibration and position senses are altered a neurological examination is important along with other assessments to be sure of the root cause. 

For more information contact Dr Carrie Watkins at 250.590.5221 or BOOK ONLINE

645 Fort Street, Suite 212 (Yarrow Building) | Victoria, BC V8W 1G2 

Dr Carrie Watkins has relocated to Victoria, BC and leaves her Toronto, ON clinic to Dr Goldgut: 416.738.6757