Readers ask: How Does Folate Obscure A B12 Deficiency?

How does folate affect B12?

Folic acid works closely with vitamin B12 in making red blood cells and helps iron function properly in the body. Vitamin B9 works with vitamins B6 and B12 and other nutrients in controlling the blood levels of the amino acid homocysteine.

How does folate mask B12 deficiency?

However, if the diagnosis of vitamin B12 deficiency is dependent on the observation of clinical symptoms of anaemia, or morphological changes in erythrocyte cells, which it often is, then folic acid may ‘mask‘ the underlying vitamin B12 deficiency by allowing normal pyrimidine synthesis to progress.

Does folic acid affect B12 levels?

There is concern that high intakes of folic acid from fortified food and dietary supplements might mask the macrocytic anemia of vitamin B12 deficiency, thereby eliminating an important diagnostic sign.

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Does B12 deficiency cause folate?

About vitamin B12 or folate deficiency anaemia

Vitamin B12 or B9 (commonly called folate) deficiency anaemia occurs when a lack of vitamin B12 or folate causes the body to produce abnormally large red blood cells that can’t function properly.

Is folate and vitamin B12 the SAMe thing?

Vitamin B12, also called cobalamin, is found in foods from animals, such as red meat, fish, poultry, milk, yogurt, and eggs. Folate (Vitamin B9) refers to a natural occurring form of the vitamin, whereas folic acid refers to the supplement added to foods and drinks.

Which is one of the first symptoms of folate deficiency?

Common symptoms of folate deficiency can include:

  • Tiredness, fatigue and lethargy.
  • Muscle weakness.
  • Neurological signs, such as a feeling of pins and needles, tingling, or burning, or peripheral neuropathy, i.e. a numbness in the extremities.

Do you treat B12 or folate deficiency first?

Vitamin B12 supplements are usually given by injection at first. Then, depending on whether your B12 deficiency is related to your diet, you‘ll either require B12 tablets between meals or regular injections. These treatments may be needed for the rest of your life. Folic acid tablets are used to restore folate levels.

What symptom of vitamin B12 deficiency is masked by high folate intake?

The results of the first study suggest that during vitamin B12 deficiency, high serum folate levels exacerbate (rather than mask) anemia and also exacerbate cognitive symptoms.

What depletes folic acid in the body?

A diet low in fresh fruits, vegetables, and fortified cereals is the main cause of folate deficiency. In addition, overcooking your food can sometimes destroy the vitamins. Folate levels in your body can become low in just a few weeks if you don’t eat enough folate-rich foods.

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How do you know if your B12 is low?

Symptoms of Vitamin B12 Deficiency

  1. Weakness, tiredness, or lightheadedness.
  2. Heart palpitations and shortness of breath.
  3. Pale skin.
  4. A smooth tongue.
  5. Constipation, diarrhea, loss of appetite, or gas.
  6. Nerve problems like numbness or tingling, muscle weakness, and problems walking.
  7. Vision loss.

What are the neurological symptoms of B12 deficiency?

A lack of vitamin B12 can cause neurological problems, which affect your nervous system, such as:

  • vision problems.
  • memory loss.
  • pins and needles (paraesthesia)
  • loss of physical co-ordination (ataxia), which can affect your whole body and cause difficulty speaking or walking.

Does folic acid treat B12 deficiency?

Before you start taking folic acid, your GP will check your vitamin B12 levels to make sure they’re normal. This is because folic acid treatment can sometimes improve your symptoms so much that it masks an underlying vitamin B12 deficiency.

How long does it take to correct folate deficiency?

The body has about 1,000-20,000 mcg of folate stores, and adults need about 400 mcg/d to replenish the daily losses. Folate deficiency may take 8-16 weeks to become evident.

When should I take B12 morning or night?

You may need to take vitamin B-12 separately from the above drugs and supplements — say, one in the morning and one at night — so you can get the full dose of vitamin B-12. Don’t take vitamin B-12 supplements if you have sensitivities or allergies to vitamin B-12, cobalt, and any other ingredients.

How long does it take to recover from B12 deficiency?

Recovery from vitamin B12 deficiency takes time and you may not experience any improvement during the first few months of treatment. Improvement may be gradual and may continue for up to six to 12 months.

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