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Vitamin B12 Deficiency and Folic Acid
Vitamin B12 is an essential nutrient that plays an important role in the creation and maintenance of cells, DNA replication, and also helps the body with several metabolic processes, including the conversion of fat into usable energy. B12 deficiency can cause serious problems such as fatigue, loss of appetite, megaloblastic anemia, weakness and weight loss as well as serious neurological changes.
In general, B-12 deficiency is relatively rare in most well-nourished populations because the minimum amount needed by the body is small and most people store large reserves of the nutrient in their livers, which can be used when new Vitamin B12 is not frequent. consumed However, there are some groups that have a higher risk for Vitamin B12 deficiency, and among them are strict vegetarians and vegans. The reason for this risk is that all natural Vitamin B12 comes from eating animal products: meat, fish, eggs and dairy products. There are no natural sources of Vitamin B12 that meet human nutritional needs that are not of animal origin; therefore if one does not eat any animal products there is a danger of deficiency.
This danger is further complicated by the fact that taking folic acid – Vitamin B9 – corrects the most obvious symptom of Vitamin B-12 deficiency, which is caused by megaloblastic anemia. Since folic acid comes naturally from leafy greens, vegans with Vitamin B12 deficiency may not notice symptoms until serious damage occurs. This is because although folic acid corrects megaloblastic anemia and masks other symptoms, it does not correct the nerve damage caused by B12 deficiency. The longer this condition persists, the more serious the damage and prolonged Vitamin B12 deficiency can result in permanent nerve damage.
More often than not, most other people with conditions that put them at risk of B12 deficiency are under the regular supervision of a doctor who will usually ensure that patients supplement their B-12 intake as needed. However, many strict vegetarians and vegans are not under the active supervision of a doctor and may not experience the more obvious symptoms of Vitamin B12 deficiency because they get plenty of folic acid in their diet. Therefore, strict vegetarians and vegans should take special precautions to ensure they get enough B12 in their diet to avoid serious medical problems.
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