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cobalamin

Cobalamin, commonly known as Vitamin B12, is a water-soluble vitamin that plays a crucial role in many vital functions within the body, particularly in the formation of red blood cells, neurological function, and DNA synthesis. Vitamin B12 is unique among vitamins because it contains a metal ion, cobalt, which is where its name “cobalamin” comes from.

Functions of Cobalamin (Vitamin B12):

  1. Red Blood Cell Formation: Vitamin B12 is essential for the production of healthy red blood cells. A deficiency in B12 can lead to megaloblastic anemia, a condition characterized by the production of abnormally large and dysfunctional red blood cells.
  2. DNA Synthesis: Cobalamin is required for the synthesis of DNA, which is necessary for cell division and the production of new cells.
  3. Neurological Function: Vitamin B12 is crucial for maintaining the health of the nervous system. It plays a role in the production of myelin, a protective covering around nerves, and is involved in neurotransmitter production.
  4. Energy Production: B12 is involved in the metabolism of every cell in the body, particularly affecting DNA synthesis and fatty acid and amino acid metabolism. It helps convert food into energy that the body can use.
  5. Homocysteine Regulation: Cobalamin helps to lower homocysteine levels in the blood, an amino acid that, when elevated, is associated with an increased risk of cardiovascular disease.

Sources of Cobalamin (Vitamin B12):

Vitamin B12 is primarily found in animal-based foods, making it essential for individuals who follow a vegan or vegetarian diet to find alternative sources or supplements. Common sources include:

  • Meat: Beef, pork, and lamb
  • Fish and shellfish: Salmon, trout, tuna, and clams
  • Dairy products: Milk, cheese, and yogurt
  • Eggs
  • Fortified foods: Some plant-based milk, cereals, and nutritional yeast are fortified with B12.
  • Supplements: Available in various forms, including oral tablets, sublingual tablets, and injections.

Deficiency Symptoms:

Vitamin B12 deficiency can lead to several health issues, including:

  • Megaloblastic anemia: Characterized by fatigue, weakness, and pale skin due to impaired red blood cell production.
  • Neurological symptoms: Tingling or numbness in the hands and feet, difficulty walking, memory loss, and cognitive disturbances.
  • Glossitis and mouth ulcers: Inflammation of the tongue and painful sores in the mouth.
  • Fatigue and weakness: Due to the role of B12 in energy production.
  • Mood changes: Depression, irritability, and other mood disorders.

Vitamin B12 deficiency is more common in older adults, individuals with gastrointestinal disorders that affect nutrient absorption (such as Crohn’s disease or celiac disease), and those who follow a strict vegan or vegetarian diet without supplementation.

Recommended Daily Intake:

The recommended daily intake of Vitamin B12 varies by age, gender, and life stage but generally ranges from 2.4 micrograms for adults. Pregnant and breastfeeding women have slightly higher needs.

Supplementation:

Vitamin B12 supplements are often recommended for individuals at risk of deficiency, particularly vegans, vegetarians, older adults, and those with absorption issues. Supplements are available in various forms, including cyanocobalamin and methylcobalamin, with the latter being a more bioactive form. Regular monitoring of B12 levels is advisable for individuals who are at risk of deficiency.

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