Page 56 - Seniorstoday January 2024 Issue
P. 56

age of 14 should consume 2.4 micrograms             Approximately 6% of adults aged 60 or
         (mcg) of vitamin B12 daily. Pregnant people        younger have vitamin B12 deficiency. The
         should consume 2.6 mcg, and lactating              rate jumps to 20% in people older than 60.
         people 2.8 mcg.                                     Some possible causes of vitamin B12
                                                            deficiency:
         Who is at risk of vitamin B12 deficiency?          • Pernicious anaemia
         Even though vitamin B12 is found in a               An autoimmune disease that affects the
         variety of foods, some people are at an            gut’s ability to digest vitamin B12.
         increased risk of developing B12 deficiency         The immune system creates antibodies
         or insufficiency. Groups at an increased           that attack and damage cells that produce
         risk include:                                      intrinsic factor, without which the
         • a vegetarian or vegan                            intestines will be unable to absorb vitamin
         • age 60 or over                                   B12.
         • people taking acid-suppressing drugs             • Bowel problems
         • people on metformin for diabetes                  Conditions that affect the stomach or small
         • those suffering a chronic digestive              intestine, such as Crohn’s disease, celiac
         disorder such as Crohn’s, celiac disease, or       disease,
         irritable bowel syndrome                            Surgery can result in malnutrition
         • people with an eating disorder                   because the patients cannot absorb enough
         • those who have had weight loss surgery           vitamins, water, and other nutrients.
         • people having H. pylori, the bacteria that       • Diet
         causes ulcers                                       People who follow a vegan or vegetarian
         • people who take excessive alcohol or             diet may have a higher risk of B12
         nitrous oxide                                      deficiency.
         • HIV-positive patients                             Unless a vegan diet is carefully planned,
          A deficiency or insufficiency can occur           it is difficult to get enough vitamin B12
         when levels of vitamin B12 become too              through plant foods alone. While some
         low to meet the demands of the body. This          plant foods contain vitamin B12, it is often
         happens if a person does not consume               in a form that the body cannot absorb
         enough of the vitamin in their diet or if          efficiently.
         their body cannot absorb it effectively            • Medications
         during digestion; it can lead to a number           Some medications such as antacids can
         of symptoms and can even progress to               affect the body’s ability to digest vitamin
         irreversible neurological issues if left           B12, leading to a deficiency.
         untreated.                                          PPIs prevent the stomach from producing
                                                            acid, but the body needs acid to absorb
                                                            vitamin B12.
                                                            • Alcohol
                                                             People with chronic alcohol use disorder
                                                            may lack vitamin B12, as their bodies may
                                                            not absorb nutrients efficiently.
                                                            • Functional vitamin B12 deficiency
                                                             Some people appear to have enough


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