B12 Deficiency What Everyone (Especially Vegetarians) Should Know

B12 Deficiency: What Everyone (Especially Vegetarians) Should Know

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Eating seafood—like this platter of lobster, clams, and fish—is an easy way to avoid a vitamin B12 deficiency.
Eating seafood—like lobster, clams, oysters, and fish—is an easy way to avoid a vitamin B12 deficiency.

Are you a dedicated vegetarian or vegan? Perhaps you decided to follow a plant-based diet to improve your health but over time you’ve started to experience troubling symptoms such as brain fog, fatigue, poor memory, and even numbness or tingling in your hands and feet—issues you never had previously. If you can relate, then you may have a vitamin B12 deficiency.

Research indicates that vitamin B12 deficiency is far more prevalent than previously estimated, with at least 40 percent of Americans demonstrating suboptimal levels, and millions more going undiagnosed altogether. The consequences of B12 deficiency are serious and can cause irreversible damage if left untreated.

Read on to learn about the health implications of B12 deficiency and why it is significantly underdiagnosed, the best methods for testing your B12 status, and how to optimize your B12 intake with food and supplements.

What a B12 Deficiency Means for Your Health

Vitamin B12 works with folate to synthesize DNA and red blood cells and assists in the production of myelin, which protects your nerve cells (neurons) and regulates nerve impulse transmission. A deficiency of vitamin B12 can have significant health implications for multiple body systems.

Vitamin B12 deficiency is exceedingly common—especially if you’re following a vegan diet. Find out how to tell if you have a deficiency and learn how eating nutrient-dense foods can help you correct it.

The classic association of vitamin B12 deficiency with macrocytic anemia, a condition in which red blood cells are larger than normal due to impaired cell division, speaks to the importance of vitamin B12 for regulating DNA synthesis. However, anemia is but one symptom of B12 deficiency. There are many other B12 deficiency symptoms that occur long before anemia sets in, including:

  • Dementia
  • Cognitive decline
  • Memory loss
  • Brain fog
  • Depression
  • Cardiovascular problems
  • Peripheral neuropathy (numbness, tingling, burning in the hands, legs and feet)
  • Impaired immune function
  • Infertility
  • Developmental and learning disabilities

Unfortunately, many of these symptoms are often mistaken for other health conditions, including Alzheimer’s disease and multiple sclerosis. As a result, B12 deficiency is often missed by physicians in the clinical setting, with serious implications for patients’ long-term health.

If You Have an Undiagnosed Deficiency, You’re Not Alone

B12 deficiency is far more common than most healthcare practitioners and the general public realize. A study from Tufts University found that 40 percent of people between the ages of 26 and 83 have plasma B12 levels in the low normal range, a range at which neurological symptoms can occur. Nine percent had an obvious B12 deficiency, and 16 percent exhibited “near deficiency.” (1) Surprisingly, the researchers also discovered that low B12 levels were just as common in young people as in the elderly.

Given the prevalence of B12 deficiency, why aren’t more clinicians and health organizations drawing attention to this serious problem? The answer lies in the fact that B12 deficiency is significantly underdiagnosed. Here’s why it’s frequently missed:

  1. B12 status is not routinely tested by most physicians.
  2. Serum B12, the conventional marker of B12 status, only drops in the later stages of B12 deficiency. Relying on serum B12 testing misses many, if not most, people who have an insufficient B12 intake.
  3. The low end of the laboratory reference range for serum B12 is too low. This is why most studies underestimate the true levels of deficiency.
  4. The standard serum test for B12 measures the total amount of B12 in the blood but does not rule out functional B12 deficiency. (A “functional” deficiency means that B12 levels are too low for optimum health, but symptoms like anemia may not yet be apparent or diagnosable.) (2) The determination of functional B12 deficiency requires other measures that are infrequently used by physicians.
Together, these factors mean that the current standard for B12 testing, serum B12, only picks up a small fraction of people with B12 deficiency. This has serious implications for the neurological, cardiovascular, immune, and reproductive health of people of all ages.

New and Improved Testing Methods for B12

Fortunately, new, more sensitive tests for B12 deficiency are now available, including tests for methylmalonic acid (MMA) and holotranscobalamin II (holo-TC). Studies using these improved methods of B12 assessment reveal much higher levels of deficiency than studies using only serum B12 testing.

MMA

MMA is a compound in the body that helps with metabolism, via a vitamin B12-dependent enzyme; if MMA levels are high, it suggests that vitamin B12 is lacking. There are two ways to have MMA measured: in the blood serum and in the urine. (3) Some experts believe that urinary MMA is superior to serum MMA as a biomarker of B12 deficiency because MMA is more concentrated in urine than in the blood. However, elevations in urinary MMA can also be caused by kidney dysfunction. Serum MMA, on the other hand, can be elevated in the presence of small intestinal bacterial overgrowth.

If you decide to undergo MMA testing to determine your B12 level, your current health status matters. I recommend urine MMA if you have SIBO, whereas serum MMA is a better option if you have a history of kidney dysfunction.

Holo-TC

B12 is transported around the body by two proteins: transcobalamin II (TCII) and haptocorrin. Eighty percent of B12 is bound to haptocorrin, while only 20 percent is bound to TCII. Holo-TC, the marker that measures TCII, falls almost immediately after B12 intake drops. Serum B12, by comparison, measures total cobalamins (a name for cobalt-containing compounds, like B12). But it measures mostly haptocorrin, and doesn’t decrease until B12 deficiency has been going on for some time.

Homocysteine

Homocysteine is an amino acid in the blood. It’s a marker of B12 deficiency when elevated, though not exclusively. Elevated homocysteine can also be caused by folate and vitamin B6 deficiencies. Homocysteine is more sensitive than serum B12; however, if it is high, you will need additional testing to determine whether the cause is B12, folate, or B6 deficiency.

Holo-TC, MMA, and homocysteine are considered measures of functional B12 deficiency because they reflect whether B12 is being appropriately utilized in the body.

Your Best B12 Testing Option

So, which one of these markers is best?

  • Holo-TC is the earliest, most sensitive indicator of B12 deficiency.
  • Urinary MMA and homocysteine typically don’t become elevated until the mid to late stages of B12 deficiency.
  • Serum B12 is the least sensitive indicator and usually doesn’t fall until the final stage of B12 deficiency.

While holo-TC testing is often the best way to catch an early B12 deficiency, it isn’t widely available in the United States (though it is in Europe). Here, we generally rely on a combination of serum/urine MMA, homocysteine, and serum B12 testing.

If you choose to get a serum B12 measurement, you will need to refer to a different range than the one provided by the lab when interpreting your results. Although most labs define deficiency at <200 pg/mL, it is well documented that many people experience signs and symptoms of B12 deficiency at levels between 200 pg/mL and 350 pg/mL. (4) Also, be aware that a high serum B12 does not necessarily rule out a functional B12 deficiency, which is best detected with MMA or holo-TC.

The same is true for homocysteine. The lab range often goes up to 15 nmol/L, but research has shown that a homocysteine level of 10 to 15 nmol/L is a substantial risk factor for heart disease, and that relationship is linear—the higher the homocysteine, the higher the risk. (5)

The Earlier You Notice a Deficiency, the Better

There are four stages of B12 deficiency, and the earlier B12 deficiency is detected in the progression of these stages, the more likely it is that the symptoms can be prevented or reversed.

Stages I and II

During the first two stages of a deficiency, your plasma and cell stores of B12 become depleted, and the concentration of holo-TC is reduced. Holo-TC is the only available marker for assessing the first two stages of B12 depletion. It’s likely that you won’t experience any noticeable symptoms if you’re in stages I or II.

Stage III

This stage of functional B12 deficiency is characterized by elevated homocysteine and urinary MMA concentrations in the blood. Serum homocysteine and serum/urine MMA are the best markers for detecting Stage III deficiency. At this stage, some people will experience mild symptoms like fatigue or brain fog, but others may not notice any signs or symptoms.

Stage IV

If you’re in the fourth stage of a deficiency, you’ll experience clinical signs, such as anemia, fatigue, and brain fog. Serum B12 and other markers of Stage IV deficiency may not decrease until this point. For some Stage IV patients, the cognitive and neurological symptoms are so severe that many believe they have Alzheimer’s or Parkinson’s disease. (6)

As you can see, signs like macrocytic anemia and symptoms like peripheral neuropathy or brain fog do not appear until the final stage of B12 deficiency. Stages I and II of depletion can precede deficiency (Stages III and IV) by months or even years!

To complicate matters further, the physical manifestations of B12 depletion can take years to appear. In the case of neurological symptoms, it may be too late to reverse them by the time the late stage of deficiency has been reached. (This particularly serious for children and young adults whose brains are still developing, as well as any adult at risk for Alzheimer’s or dementia.)

That’s why an early diagnosis of B12 deficiency is crucial.

What Is a Normal B12 Level?

As I mentioned before, the cutoff for serum B12 of 200 to 230 pg/mL, used by most studies and labs, is too low. Other studies suggest that B12 levels greater than 400 pg/mL, double the accepted lower limit of normal, boost the beneficial metabolic effects of B12 and prevent neurological damage.

Importantly, research also indicates that at least one-third of B12 in serum is not cobalamin, the metabolically active form of B12 in humans, but corrinoids, which are not metabolically active. This profound finding means that some people with “normal” serum B12 may actually be deficient because the test is counting metabolically inactive corrinoids as B12.

As a rule of thumb, if your serum B12 level is between 200 and 350 pg/mL, B12 deficiency may be a problem. Just remember that a normal serum B12 does not rule out functional B12 deficiency, which can only be assessed with holo-TC, MMA, and homocysteine.

If You’re a Vegetarian or a Vegan, You Should Be Concerned about B12 Deficiency

Vitamin B12 is found almost exclusively in animal foods. For this reason, vegetarians and vegans are highly prone to B12 deficiency. While early studies showed that vegetarians and vegans had only slightly higher rates of deficiency than omnivores, these studies used relatively insensitive markers, such as serum B12, and less stringent cutoffs for holo-TC, MMA, and homocysteine.

The newer, more sensitive measures of B12 status indicate that the prevalence of B12 deficiency is much higher in vegetarians and vegans than previously believed.

For example, one study that used serum B12 (the less sensitive method) indicated that 7 percent of vegetarians and 52 percent of vegans were B12 deficient, whereas when holo-TC was used, deficiency was detected in 77 percent of the vegetarians and 92 percent of the vegans. (7, 8)

Essentially, conventional B12 testing is missing 70 percent of vegetarians and 40 percent of vegans that are B12 deficient! This is a massive oversight that may have devastating consequences for the long-term health of both vegetarians and vegans.

Interestingly, I have noticed in my clinic that other signs of B12 deficiency, such as elevated mean corpuscular volume (a marker known as MCV), can be obscured in vegetarians and vegans. This occurs because vegetarians and vegans often have iron deficiency and a high folate intake; these factors lower MCV and effectively “cancel out” any increase that B12 deficiency would cause. (9) Calcium deficiency, which is common in vegans, can also lead to B12 deficiency because free calcium is required for the absorption of B12. (10) The possibility of multiple nutritional deficits is just one reason to think twice about following a vegetarian or vegan diet.

Omnivores: You Need to Pay Attention to B12, Too

While rates of B12 deficiency are much higher in vegetarians and vegans than in omnivores, that doesn’t mean it’s rare in omnivores. Approximately one in 20 omnivores is B12 deficient. (11) B12 deficiency is also more common in people with risk factors like:

  • Gut problems that decrease intestinal absorption of B12
  • Past or present use of gastric acid-suppressing medications, metformin, or antibiotics
  • A history of miscarriage and infertility

Vegans: You May Need More Supplementation Than You Think

Proponents of vegan diets promote B12 supplementation as the solution to B12 deficiency. However, supplements do not always solve the problem. In fact, research indicates that even well-educated vegetarians and vegans are not supplementing adequately!

Presumably well-educated vegetarians and vegans at a summer camp in the Netherlands were found to have serum B12 levels less than 200 pmol/L, a level associated with reduced DNA synthesis and other harmful metabolic effects. In another study, vegans taking B12 supplements demonstrated a paltry average level of 192 pmol/L.

Furthermore, the rate of B12 deficiency in vegans who supplemented with B12 was higher than in vegans who didn’t supplement! It is not clear why vegans who supplemented had higher levels of deficiency, but it could be due to the interference of supplemental B12 with active B12 levels. (12) In both of these studies, the subjects were from vegetarian/vegan societies and thus likely to be better educated than the general population. However, this did not prevent them from having a B12 deficiency. (If you need help choosing proper supplements, see the last section of this article for more specifics.)

Your Kids Need B12 throughout Childhood

Women who consume vegetarian and vegan diets during pregnancy and breastfeeding and families that feed their children vegetarian and vegan diets during infancy and childhood are playing with fire and increasing their children’s risk of serious developmental and health problems.

Vegetarian Moms: You Need to Get Enough B12 during Pregnancy

If you’re pregnant and you have a B12 deficiency, your child could have low B12 throughout infancy and childhood. The longer a mother has been a vegetarian, the higher the likelihood she’ll have low serum and breast milk B12 levels that correlate with a deficiency in her infant. (13, 14, 15)

High homocysteine resulting from low maternal B12 status may promote neural tube defects and congenital heart defects in utero. (16)

The Impact of a Deficiency for Your Child

The prevalence of B12 deficiency is 67 percent in American children, 50 percent in New Zealand children, and 85 percent in Norwegian infants who have followed vegetarian or vegan diets their entire lives. (17) This is extremely concerning, as B12 deficiency can have “extensive, severe, and irreversible” consequences for brain and body development in children. (18)

B12 deficiency impairs fluid intelligence, spatial ability, and short-term memory in children; in fact, vegan children score lower than their omnivorous peers in all of these areas. (19)

B12 deficiency in children leads to:

  • Poor school performance
  • Depression
  • Weakness
  • Fatigue
  • Nerve damage
  • Failure to thrive

Even if a vegan or vegetarian child switches back to a diet that includes animal products, they may not be able to reverse all of the problems that come with low B12. A study of kids raised on a vegan diet found that they were still B12 deficient years after they started eating animal products. (20)

That means compromised B12 status in childhood may have negative consequences that extend well into adulthood. (21, 22)

B12 deficiency also has serious health repercussions for adults. Notably, it raises homocysteine, a risk factor for cardiovascular disease, dementia, and Alzheimer’s disease. (23) Ironically, many vegetarians and vegans choose a plant-based diet to reduce their risk of cardiovascular disease, yet several studies have shown that homocysteine levels are higher in vegetarians than omnivores and higher in vegans than vegetarians. (24) Vegetarians and vegans with low vitamin B12 status are at risk of developing circulatory health problems regardless of their favorable profile of traditional heart disease risk factors. (25)

What to Do If You Think You Have a Deficiency

The first step I recommend is to get a holo-TC and/or urinary MMA test. If either of them is abnormal, you should immediately take steps to increase your B12 levels. There are two ways to do this:

  1. Eat B12-rich foods
  2. Supplement

How to Get More B12 in Your Diet

B12 contains a trace element (cobalt), which is why it’s also called cobalamin. Cobalamin is produced in the gut of animals and is found almost exclusively in animal foods. Some of the best sources of B12 are:

  • Liver
  • Clams
  • Oysters
  • Mussels
  • Fish eggs
  • Octopus
  • Fish
  • Crab and lobster
  • Beef
  • Lamb
  • Cheese
  • Eggs

A common myth among vegetarians and vegans is that it’s possible to get B12 from plant sources like:

  • Seaweed
  • Fermented soy
  • Spirulina
  • Brewer’s yeast
The truth is, there are almost no vegan sources of vitamin B12.

Nearly all seaweed tested has been revealed to contain vitamin B12 analogs (that is, chemically similar) called cobamides that block the intake of—and increase the need for—true B12. (26) The one exception is a combination of dried purple laver (nori) and wild mushrooms, which were shown in one study to reduce MMA.

Using a Supplement

Cyanocobalamin is the most frequently used form of B12 supplementation in the United States. But recent evidence suggests that hydroxocobalamin is superior to cyanocobalamin, and methylcobalamin may be superior to both—especially for neurological disease. This is because methylcobalamin bypasses several steps in the B12 absorption cycle and, unlike cyanocobalamin, readily crosses the blood-brain barrier. (27, 28) On top of that, methylcobalamin provides the body with methyl groups that play a role in various biological processes critical to overall health.

We now know that the dose of B12 in a supplement needs to be 100 times higher than the RDA of 2.4 micrograms/mL to be effective (this comes to approximately 250 micrograms/day). If you’re deficient, your dose should be even higher, at approximately 500 micrograms/day.

372 Comments

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    • Hi Deb,

      Due to the high volume, Chris does not personally moderate the blog comments. However, staff members do approve each one.

      • Thank you ever so much. I noticed that no one has posted on the thread for so long I assumed a comment would not be read by anyone. 🙂

  1. You say that “animals produce b12 in their gut…” but humans are mammals, too; why would humans be the one and only species of mammals who do not produce B12? This sounds like a joke of the evolutionary path: “let us play: let us produce a species with 86 billion neurons in the brain, in probably the highest need of B12, but let us make it incapable of producing it, even though all the other species similar to it, will be capable of producing it; let us make this species especially susceptible to methiocine, high in animal protein, but low in plant protein, but let us make this species in need of B12 in an environment where it will have to catch and kill animals that it does not naturally like killing…” What a joke of evolution!

    Daily more and more serious studies are pointing in the direction that a well balanced plant diet is way healthier than a diet that includes animal protein.

    Something is catchy in this subject. I have read that the bacteria in charge of producing B12 (using very small amounts of cobalt) die in humans that have taken rather large doses of antibiotics throughout their lives. Also, I have read that meat, today, is not guaranteed to contain vitamin B12 enough as a health supply for humans.

    • It’s not that we (or rather, bacteria in our colons) don’t produce B12, it’s that we cannot absorb it because it is produced too low in the body. But, yeah, the solution couldn’t be easier: take a supplement, done.

  2. i believe from my personal experiences that something is different about humans. I have been both vegan and done zero carb/meat mono-dieting only. I have done even mono-diet fruitarian dieting. I have had a number of nutritional deficiencies. This is what conclusion I have come to thus far for myself:

    -meat should be eaten raw (because cooked destroys it) but raw meat is harder for me to digest. I mean really tough to digest. Very slow and makes me feel like I have a knot in my stomach.

    -dairy should be eaten raw (because cooking destroys the good stuff) but dairy is bloating and still causes inflammation, flem/mucus production and hard on the digestive system.

    -grains should not be eaten at all, along with plants. They (like animal products), yes, have a number of nutrients in them, but my body seems to not be able to break down plants/grains. There are religions/belief systems that say plants are ‘alive’ and their structure is protected by phytates, goitrogens, etc to protect themselves from being eaten. Makes sense, so I avoid.

    -fruit digests well compared to everything else. Fruit like avocadoes (which is high in fat) does not, and I don’t eat. Other fruits like bananas, strawberries, blueberries, oranges, pinapple, watermelon, etc all should be eaten organic. Anything non-organic is toxic and really alters the state of the fruit for human consumption.

    -on a fruitarian/vegetarian diet the missing link is ‘unrefined sea salt.’ I went months (over 6) and was vegetarian a couple different times. I ran into issues and reverted to eating animal products because i had symptoms like mentioned above, but also: hair falling out, rashes, autoimmune disorders, fatigue/shortness of breathe, brain fog, irritability, numbness in limbs after eating. These are only a few. While eating a fruitarian or vegetarian diet, unrefined sea salt prevents all of these symptoms from happening. Research shows that today sodium deficiency is extremely common and we (humans) consume less quality sodium in our food and diets. The food most eat isn’t organic, which decrease the organic salts in the food. Sea salt is an excellent way to add these salts back into the diet, but while eating organic fruit/veggies only.

    I have learned much more than this, but I am trying to stay on point with this article. If anyone has any questions, I would be happy to answer.

    • oh I missed something: B12. I have read in various places that B12 deficiency actually occurs more from eating animal products. When avoiding animal products, the chance of going deficient is a lot less likely. There have been numerous vegans that have liked to be 80-100 years old and I haven’t heard them say in interviews that they took a B12 supplement. They also say that ‘bacteria’ produces B12. I drink water kefir , brew it at home. I haven’t heard or seen anything that says it produces B12 in the kefir strains, but inside the body, the enzymes might help natural B12 production. If anyone has any insight or information on that, please share. Thanks.

      • I believe the article mentioned several times that B12 is ONLY available in animal products and that fermented foods don’t cut it ever. The B12 that is in kefir is from the milk that it is made of and the type of bacteria would of course vary depending on the source and of course on what ‘bacteria’ is added to the mixture during the fermentation process. So if you are vegan and your kefir is made with coconut milk, unless you supplemented your mixture with B12 as well as your probiotic mixture of bacteria/yeast, the amount of B12 might be questionable.

        Generally speaking once cup of milk kefir (at 0.4 msg) would contain approximately 16% of the adult daily requirement of 2.4 mkg/day.

  3. It is obscure to me. Why would a species surge or evolve, like Homo sapiens sapiens, only equipped with a brain capable of developing tools so he could hunt animals, kill them and then eat them after they cooked them (as opposed to “natural” carnivores, evolved to hunt without external tools and fixed to eat raw animals) BUT incapable of generating its own B12, whereas all the other mammal species somehow DO have B12 or find the sources of B12 without supplements…?

    In other words, where do cows, pigs, chicken get their B12 vitamins? Why would pigs be capable of generating their B12 vitamins but humans not? After all, pigs and humans ara capable of eating basically the same things… Also, where are farm industrial pigs getting their B12? Do they produce it inside themselves?

    Then, is the human species a rather crippled one in design since it is not equipped to generate its own vitamin B12 and yet will suffer a tragical health situation if they do not ingest it?

    From and evolutionary point of view, this B12 deal does not make sense at all; I mean, it does not make sense that a species like the humans, has been able to overpopulate its habitat more than any other species, and yet suffers from the deficiency of being incapable of producing a vitamin without which its individuals would become idiots (at least).

    • Cows pick up the bacteria from the soil that they get with the grass that they are eating and then when that ferments in their four-stomach digestive system, the bacteria multiplies and is absorbed into the blood stream. Chickens would be picking it up from the soil or from scratching around for bugs and seeds in the manure of other species. And pigs are a omnivorous animal so they could be picking it up from the dirt and/or from the bugs, slugs and other small animals or reptiles that they might consume.

      Industrial raised pigs and chickens would be supplemented. They do manufacture B12 in their bodies just as we do, but the portion of gut, the colon I believe, where this action takes place, is unable to absorb anything (including nutrition) from that area which also abounds in harmful bacteria. So yes, I think those sorts of food animals would be supplemented.

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