Vitamin B12 Injections - Do You Need B12 Shots?

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Vitamin B12 is a unique vitamin for many reasons. It was the most recent vitamin to be discovered, when scientists ultimately isolated its pure form in 1948. Until that time, doctors knew only that an "extrinsic factor" existed (a mixture that had to be ingested) and was critical to prevent pernicious anemia. This scantness disease was reported as early as the 1820's but it wasn't until the 1920's that an extract from liver was found to be the cure, and still more years passed before the "extrinsic factor" was ultimately identified as vitamin B12.

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The digestion and absorption of vitamin B12 is more complex than other vitamins: Three components are critical for a human to be able to Ant. Eject sufficient amounts. If one of these is missing, injections become the only way to prevent a deficiency.

First, the stomach must be present. This may sound positive at first, but in fact many nutrients are admittedly absorbed in the small intestine and a stomach is not critical for human survival. In the case of vitamin B12, however, "intrinsic factor" must be gift in the stomach to join with the "extrinsic factor" (vitamin B12) for absorption to occur. The stomach produces this intrinsic factor. A someone may have to have their stomach removed due to severe ulcers, polyps, or cancer, and afterwards will not be able to Ant. Eject oral B12. In this case they would need injections of the vitamin because no matter how much they eat, it will not be absorbed.

The second component is stomach acid. Even if the stomach is present, a health of low acid yield (achlorhydria) is not uncommon in the elderly. This acid environment is critical for the intrinsic and extrinsic factors to combine. Someone else cause of low stomach acid is when antacid medications are taken consistently over long periods of time. If stomach acid is lacking and a someone becomes B12 deficient, monthly injections are needed to prevent pernicious anemia.

The third component critical is the functioning area of the small intestine where the vitamin is admittedly absorbed. Known as the terminal ileum, it is the last part of the small intestine just before the Gi tract leads into the large intestine. Some people may need to have this part of their ileum removed due to inflammation from Crohn's disease, or other persisting bowel irritations. Even if the ileum is present, if it is inflamed or scarred from an irritable bowel disease, the vitamin will not be absorbed adequately. For these people, vitamin B12 injections are a lifesaver.

Who else needs vitamin B12 injections? Not wholesome people who eat balanced diets. Not people who feel tired all the time and lack vigor but have not been diagnosed with a scantness of the vitamin. Not even spoton vegetarians who don't get a source of the vitamin in their diet. Even though B12 is only found in animal products, there are other ways to consume it orally: Some can be found in positive nutritional yeasts; many cereals are fortified with B vitamins including B12, and other foods such as vigor bars are also fortified in many instances. The back-up plan for spoton vegans (who consume no animal products) is taking a daily vitamin B12 pill from the bottle-no injection is needed because there is no question entertaining the vitamin!

Injections are only critical for people who are missing their stomach, their stomach acid, or their terminal ileum. Taking injections when your body is perfectly capable of entertaining the vitamin orally will not serve any purpose, turn any symptoms, or settle any feelings of low energy. This myth comes from the fact that a someone who is truly B12 deficient has a deadly form of anemia and can be cured by the shots. The only thing a B12 injection can cure is a B12 deficiency.

To check for potential scantness disease, a easy lab test (the Mcv or mean corpuscular volume) indicates that red blood cells are not dividing and multiplying at the suitable rate. Known as megaloblastic anemia, these large cells could indicate potential pernicious anemia. If additional diagnostics are needed there are specific absorption tests available. It admittedly makes sense to have your physician diagnose the question and recognize the source before beginning any injection treatments.

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