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Vitamin B12 Deficiency: Causes, Symptoms and What Helps

Vitamin B12 is one of the most important vitamins for your body: it contributes to the normal functioning of the nervous system, plays a part in the normal formation of red blood cells and supports a normal energy-yielding metabolism. This water-soluble vitamin is found mainly in animal-based foods such as eggs, dairy, fish and meat. A vitamin B12 deficiency is fairly common, though – especially in older people and on a vegan diet. Here you'll learn what B12 does in the body, how to spot a possible deficiency and who should pay particular attention.

The key functions of vitamin B12

Vitamin B12 is involved in a whole range of normal body functions. These effects are scientifically recognised:

1. Nervous system

Vitamin B12 contributes to the normal functioning of the nervous system. Among other things, it plays a part in forming myelin, the protective sheath around the nerve fibres.

2. Mind and mood

B12 contributes to normal psychological function. It plays a role in the metabolism of messenger substances such as serotonin, which help to shape your mood.

3. Energy and less tiredness

Vitamin B12 contributes to a normal energy-yielding metabolism and to the reduction of tiredness and fatigue. If you often feel drained, a deficiency may – but doesn't have to – play a role.

4. Formation of red blood cells

B12 contributes to the normal formation of red blood cells. These carry oxygen around your body – an important reason why a good supply matters.

5. Immune system

Vitamin B12 contributes to the normal functioning of the immune system.

6. Cell division and DNA

B12 has a role in the process of cell division and is involved in the metabolism of genetic material (DNA) – relevant everywhere new cells are formed in the body.

7. Homocysteine metabolism

Vitamin B12 contributes to a normal homocysteine metabolism.

Who is most affected by a vitamin B12 deficiency?

Because B12 is found mainly in animal-based foods, some groups are at higher risk of a low supply:

  • people on a vegan or largely vegetarian diet
  • older people, as absorption can decline with age
  • pregnant and breastfeeding women, who have an increased need
  • people with certain gastrointestinal conditions or after surgery on the digestive tract
  • people who take certain medications long-term – something best discussed with your doctor

Possible signs of a vitamin B12 deficiency

A deficiency often develops slowly and shows up in non-specific ways. The following signs may – but don't have to – be related to it, and are no substitute for a medical diagnosis:

  • persistent tiredness and exhaustion
  • paleness
  • trouble with concentration and memory
  • tingling or numbness in the hands and feet
  • a sensitive, reddened tongue or discomfort in the mouth
  • low mood

Important: these signs can have many causes. If you suspect a deficiency, have your B12 status checked by a doctor – a blood test can confirm it reliably.

Vitamin B12 through your diet

Since the body can't produce B12 itself, it has to come from food on a regular basis – mainly from animal products:

Eggs, cheese, milk and salmon as natural sources of vitamin B12
Eggs, cheese, dairy and fish are among the most important B12 sources in your diet.
  • Fish: for example salmon, herring and mackerel
  • Meat: especially beef and offal
  • Eggs
  • Dairy: cheese, yoghurt, milk

If you follow a vegan diet or belong to a risk group, you can consider a B12 supplement in addition to a balanced diet. What makes sense for you is best clarified with your doctor.

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Prices incl. VAT. Food supplements are not a substitute for a varied, balanced diet and a healthy lifestyle.

Frequently asked questions

Which foods are high in vitamin B12?
Mainly animal-based foods: fish such as salmon and mackerel, meat, eggs and dairy such as cheese and yoghurt. Plant foods generally contain little usable B12.
Who should pay special attention to their B12 intake?
Above all people on a vegan or largely vegetarian diet, older people, pregnant and breastfeeding women, and people with certain gastrointestinal conditions. When in doubt, get it checked by a doctor.
How do I recognise a vitamin B12 deficiency?
Possible signs include persistent tiredness, paleness, trouble concentrating or tingling in the hands and feet. They are non-specific, though – a deficiency can only be reliably confirmed by a blood test at the doctor.

More on healthy eating in the Surpresa Natural blog

For more on vitamins and nutrition, take a look at our Surpresa Natural blog. There you'll find out, for example, what role omega 3 plays in the body, which foods help against inflammation and why collagen matters for skin and joints.

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