Vitamin B12 also known as Cobalamin is a water soluble
vitamin with a key role in the normal functioning of the brain and nervous system, and for the formation of blood. Vitamin B12 is one of the eight B vitamins. A series of closely related compounds known collectively as cobalamins or vitamin B12 are converted into active forms methylcobalamin or 5-deoxyadenosylcobalamin.
Deficiency symptoms of vitamin B12:
Deficiency symptoms of vitamin B12 are both hematological (pernicious anemia) and neurological. A megaloblastic anemia may occur because the effects of vitamin B12 deficiency on folate metabolism. Below are examples of clinical signs of a vitamin B12 deficiency:
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shortness of breath
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fatigue
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weakness
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irritability
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sore tongue
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decrease in blood cell counts (red, white and platelets)
Neurological symptoms are manifested as a progressive neuropathy, with loss of position sense and ataxia. If vitamin B12 repletion is not initiated, permanent neurological damage, including degeneration of nerves and spinal cord can develop. Evidence suggests that mental symptoms of depression and fatigue are detectable before anemia develops. Vitamin B12 is necessary to prevent accumulation of homocysteine, a toxic metabolic byproduct linked to cardiovascular disease and connective tissue abnormalities. Hypochlorhydira and gastrointestinal disturbances are frequently associated with vitamin B12 deficiency.