Because the symptoms of low vitamin B12 vary so greatly the medical community has often concentrated on one symptom and ignored others. The result is that many people with severe symptoms of low B12 do not get treatment because they don’t have the symptom popular on a given day, the “symptom d’jour” you might say.
Today when there is more knowledge about vitamin B12 and its symptoms, with compelling research, there remains a tendency for healthcare providers to do what they are familiar with from the past. That might not be best for you if you have different symptoms than your healthcare provider has long associated with vitamin B12.
For example, after I was diagnosed with “profound vitaminB12 deficiency” another doctor, one not at the hospital where I was diagnosed, said I could not have a vitamin B12 deficiency because I wasn’t vegetarian. For that doctor, the first and most important thing she looked for, to see if there might be vitamin B12 deficiency, was a vegetarian diet.
Anyone coming to her who wasn’t a vegetarian wasn’t going to have their vitamin B12 level considered as a possible cause of negative health issues.
Another example is more general and has to do with the fact that there are two general categories of vitamin B12 deficiency symptoms: those that are related to nerves, and those that are related to blood.
While it appears that a low vitamin B12 level experienced over a long time will inevitably lead to blood disorders ~~ to blood cells being too large ~~ not everyone who initially has serious B12 problems will have the large blood cells associated with advanced deficiency or the disease of pernicious anemia.
Because of the wide range and confusing variety of low vitamin B12 symptoms, it is useful to look at your fingernails and see whether they have ridges or are losing their moons. These simple signs show low B12.
- Numbness in hands and feet
- Ataxia (irregularity of muscular action)
- Impaired reflexes
- Gait disturbances (for instance difficulty walking a straight line)
- Impaired vibration perception
- Positive Romberg’s test: closing the eyes increases unsteadiness;.indicates loss of proprioceptive control (Proprioceptive: able to receive stimuli from muscles, etc.) Try closing your eyes and turning in a circle – losing your balance indicates low B12
- Babinski’s sign: Extension of the great toe and abduction of the other toes instead of normal reflex to plantar (sole of foot) stimulation, considered indicative of pyramidal tract involvement. (Pyramidal: anatomy: one of the carpal bones.)
- Lhermitte’s sign: Sudden electric-like shocks go down spine on flexing head
- Optic atrophy:wasting away or reduction from degeneration of nerve fibres of optic nerve
- Impaired vision, blurred vision under stress
- Chronic fatigue syndrome/fibromyalgia
- Concentration difficulties
- Impaired memory and memory loss
- Personality changes
- Psychosis: gross impairment in reality testing evidenced by delusions
For a better understanding read Areas of Cognition
Symptoms of anemia from low vitamin B12
- Dyspnoea upon exertion: Shortness of breath, difficult or laboured breathing
- Aversion to meat
- Faecal/urinary incontinence
- Loss of muscle strength
- Spasticity ~ tight or rigid muscles ~ can interfere w/ walking, talking
- Low self confidence
- Vitiligo: nonpigmented white patches of skin
- Frequent need to pass water
- Hair loss
Low B12 and deficiency is often seen in:
- Any person with:
- inadequate nutrition
- a smoking habit
- high alcohol consumption
- coping with significant stress
- People complaining of:
- loss of appetite
- loss of weight
- impaired memory
- People who have had:
- resection of stomach or ileum
- stomach surgery
- anaesthesia with nitrous oxide
- Adverse reactions to anaesthesia /surgery
- People who use medicine affecting B12:
- antacids: Prevacid, Prilosec, Tums, etc.
- Omeprazole interferes w/B12 absorption from food
- Metformin: drug used to treat diabetes
- Solu-Medrol can lower vitamin B12 levels
- many antidepressants
- Patients with Gastrointestinal disease:
- Atrophy of the mucosa
- Gluten-induced enteropathy
- Crohn’s disease
- Patients with Autoimmune diseases to include:
- ALS – Lou Gehrig’s Disease
- Celiac Disease
- Guillain-Barre Syndrome
- Multiple Sclerosis
- Rheumatoid arthritis
- following pregnancy complications
- who produced an unusually large placenta
- People with eating disorders:
- People with marfanoid appearance
Methylcobalamin, the active form of B12, has been known to help:
- ADHD symptoms
- Chronic fatigue
- Depth Perception
- Viewing Color
- Speech (finding words, apraxia, articulation, etc)
- Sleep Regulation
- Neurotransmitter function
- Autoimmune symptoms
- Chemical Sensitivity
- Viral Infections
- Inflammatory conditions like rheumatoid arthritis, sciatica, fibromyalgia
- Irritable bowel
- Eye or muscle “twittering”
- Nail bitting
- Visual and auditory processing
- Modulation of light
- Night vision
- Hearing problems ~ Improved ability to process sounds and modulate background noise
- Nerve regeneration
- Blocking the effects of ethanol
- Greatly reduces the desire for alcohol, marijuana, methamphetamines, and possibly other addictive drugs and behavior.
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More about Symptoms of B12 deficiency
Initial symptoms of B12 deficiency are easily overlooked. Plus, early symptoms of anemia may be masked by folic acid, or by an iron deficiency. A variety of neuropsychiatric symptoms may be the earliest and easily seen and felt symptoms.
The most common neurological symptoms in low vitamin B12 are paraesthesia (numbness) of the hands and feet, diminished perceptionof vibration and position, absence of reflexes, and unsteady gait and balance — the range of symptoms is broad.
Psychiatric symptoms seen in vitamin B12 deficiency are varied and fall into several different categories: Confusion and memory disturbances are the most common. Depression, with or without psychotic components, and cognitive decline are frequent. Swings in mood and personality changes from low B12, if untreated, may become a psychiatric disease.
Such vague symptoms of vitamin B12 deficiency are easily overlooked, especially as the serum concentration of vitamin B12 often lies within the reference range. (In the United States the low for the reference range is hundreds of points lower than the more realistic low in Japan and Europe.)
Disorders in the gastrointestinal tract can give rise to a deficiency of vitamin B12, with symptoms being more or less pronounced. Poor mucosal function may also be a cause and may show up with glossitis (a swollen tongue).
The elderly are at great risk of vitamin B12 deficiency. Age-related, often asymptomatic atrophic gastritis is common and may be enough to cause a patient to slide slowly into a negative vitamin B12 balance with depleted stores of the vitamin giving rise to dementia. (Because the low in the United States is so low, this slide may go unnoticed for considerable periods of time.)
Infants of vegetarian/vegan mothers are in danger of vitamin B12 deficiency, even though their mothers may not have B12 malabsorption illness and may not show any deficiency symptoms. This is because of the relatively high need for B12 in a rapidly growing child.
Finally, I repeat, if your fingernails have ridges or you are beginning to lose your moons, please try Methylcobalamin. Keep notes so you can review after you begin to feel better with a reduction in the symptomsyou may have found worrying and/or baffling. If you aren’t going to go to your healthfood store soon, order Methylcobalamin on line.
In 1997 the lines/ridges on my fingernails were the worst. I was unable to think; things “looked” unclear; things seemed hopeless; I tried to kill myself, and I had such horrible bone pain that it didn’t seem like it would make any difference if I immolated myself because of abuse by IRS. B12 changed all that! Karen Kline
I have found that stress coincides with lower B12 and the accompanying symptoms. Stress can break you ~ Read more.
If you like the scientific side of things, then from the scientific perspective what happens to you when you are under stress is that your telomerase, which is essential for longer telomeres, is decreased. The end result is that stress shortens your telomeres and short telomeres are related to illness and earlier death.