By Sally M. Pacholok and Jeffrey J. Stuart
Featuring a large scope of difficulties as a result of B12 deficiency, this entire advisor offers updated clinical information regarding indicators, checking out, prognosis, and therapy. Written for either the patient and the interested layperson, this detailed book outlines how physicians usually misdiagnose B12 deficiency as Alzheimer’s ailment, a number of sclerosis, middle illness, psychological retardation, Parkinson’s sickness, depression, or different psychological health problems. Now within the moment variation, this source has been completely up to date with the most recent study, diagnostic checks, treatments, case reviews, and testimonials.
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Additional info for Could It Be B12? An Epidemic of Misdiagnoses, Second edition
J Am Geriatr Soc. 1995 Nov;43(11):1290–1297. 7. Pennypacker, L. , Allen, R. , Kelly, J. , et al. High prevalence of cobalamin deficiency in elderly outpatients. J Am Geriatr Soc. 1992 Dec; 40(12):1197–1204. 8. Dharmarajan, T. , Adiga, G. , Norkus, E. P. Vitamin B12 deficiency. Recognizing subtle symptoms in older adults. Geriatrics 2003;58:30–8. 9. Dietary Supplement Fact Sheet: vitamin B12. gov/ factsheddts/vitaminb12/. 10. VanTiggelen, C. J. , et al. Assessment of vitamin-B12 status in CSF. American Journal of Psychiatry 141, 1:136–7, 1984.
But when we dismiss aging patients’ suffering as “normal,” we consign many of these patients to nursing homes, or even to death, when they have treatable problems. And one common problem in people over sixty is vitamin B12 deficiency. Seniors are a high-risk group for severe B12 deficiency for several reasons. One is that 30 percent of them develop a condition called atrophic gastritis, or inflammation and wasting of the stomach lining. This drastically decreases their levels of stomach acid, which is needed to free B12 from animal proteins so that it can be absorbed.
To obtain B12 from your diet, you need to eat meat, poultry, fish, eggs, dairy products, or foods fortified with B12—or, if you don’t eat these foods, you need to take supplements. However, even a diet high in B12, augmented with a supplement, isn’t sufficient for many people. In fact, while the Institute of Medicine (IOM) reports that you need only a tiny amount of B12 each day (two to four micrograms or about a millionth of an ounce), it’s remarkably easy to become deficient in this nutrient.