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Vitamin B12 deficiency - Trinidad and Tobago Newsday

Dr Maxwell Adeyemi

VITAMIN B12 deficiency happens when your body is either not getting enough or not absorbing enough vitamin B12 from the food that you eat that it needs to function properly.

Vitamin B12 deficiency can cause physical, neurological and psychological problems if it is not treated.

Vitamin B12 is an important nutrient that helps your body keep your nerve cells and blood cells healthy. It also helps your body make DNA, the genetic material in all of your cells.

Your body does not make vitamin B12 on its own, so you have to consume food and drinks that have vitamin B12 in order to get it. Vitamin B12 is found in animal products you eat and drink such as meat, dairy and eggs. It can also be found in fortified foods (foods that have certain vitamins and nutrients added to them) such as certain cereals, bread and nutritional yeast.

How the body absorb vitamin B12

There are two things that need to happen in order for your body to absorb vitamin B12 from the food you eat. First, hydrochloric acid in your stomach removes vitamin B12 from the food it was in. Then, vitamin B12 combines with something called intrinsic factor, a protein made by your stomach. Vitamin B12 is then able to be absorbed by your digestive system.

Vitamin B12 deficiency anaemia

Vitamin B12 deficiency anaemia happens when your body does not have enough healthy red blood cells because your body has a vitamin B12 deficiency. Vitamin B12 is needed to make red blood cells. Because of this, a lack of vitamin B12 can cause anaemia. People can, however, have a vitamin B12 deficiency without having anaemia.

Causes of vitamin B12 deficiency

Vitamin B12 deficiency happens if you are not eating enough vitamin B12 or your body is not absorbing the vitamin B12 you consume properly. Situations or conditions that can cause vitamin B12 deficiency include:

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Lack of vitamin B12 in your diet: People who don't eat enough foods that naturally have vitamin B12 or don't eat foods fortified with vitamin B12 can develop vitamin B12 deficiency.

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Gastritis: Gastritis is inflammation of the stomach lining, and it's a common cause of vitamin B12 deficiency. It can cause vitamin B12 deficiency due to a lack of hydrochloric acid in your stomach, which is needed for vitamin B12 absorption.

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Pernicious anaemia: People who have pernicious anaemia, a rare medical condition, are not able to make intrinsic factor, a protein made by your stomach. You need intrinsic factor so that your body can absorb B12 vitamin. People with pernicious anaemia have a B12 vitamin deficiency.

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Digestive diseases: Diseases that affect the digestive system, like Crohn's disease and celiac disease, can prevent your body from fully absorbing vitamin B12.

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Surgery: People who have gastrointestinal surgery, such as a gastric bypass (weight loss surgery), can have difficulty absorbing vitamin B12.

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Alcohol abuse: This condition can damage your digestive system and cause vitamin B12 deficiency.

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Transcobalamin II deficiency: This is a

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