In severe alcoholism, the majority of the diet is replaced by alcohol, resulting in . Untreated vitamin B12 deficiency can lead to anemia or irreversible nerve damage. Dr. Rebeca Eriksen is the Nutritional Consultant for Fit Recovery. Do not stop using the medicine unless your doctor tells you to. Use a needle and syringe only once and then place them in a puncture-proof "sharps" container. It is important to be aware of how your body absorbs vitamin B-12, as this knowledge can help you make an informed decision about the amount of alcohol you consume. Background: Although alcohol intake has been positively associated with breast cancer risk in epidemiologic studies, a causal relationship has not been established, and the mechanisms mediating this association are speculative. Unable to load your collection due to an error, Unable to load your delegates due to an error. Im tall but light. Wong, C. W. (2015). HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Multivitamins Containing No Vitamin A or E, Vitamin B12 Injections & Alcohol Ingestion, Difference Between Vitamin B-12 & Folic Acid, International Journal of Cancer; Alcohol Consumption and Chronic Atrophic Gastritis: Population-Based Study Among 9,444 Older Adults from Germany; Lei Gao et al, Harvard Health Publishing: Vitamin B12 deficiency can be sneaky, harmful. Here are the percentages of people who have vitamin B12 deficiency based on age ranges: Vitamin B12 deficiency happens if you are not eating enough vitamin B12 or your body is not absorbing the vitamin B12 you consume properly. The following risk factors can increase the chance of developing vitamin B12 deficiency: high alcohol consumption; older age; . However, a doctor can advise on an individuals specific needs. you can drink alcohol with cyanocobalamin. The tests used to diagnose vitamin B12 deficiency are a complete blood count (CBC) and a vitamin B12 blood test level. Some people may have no symptoms despite having a low level of vitamin B12 in their bodies. Your dose needs may change if you become pregnant, if you breastfeed, or if you eat a vegetarian diet. Furthermore, changes in mental status are often caused by the condition. Pernicious anemia is also treated with folic acid to help maintain red blood cells. This can be due to having low levels of intrinsic factor in the digestive system, having a digestive condition, or following a plant-based diet. By using our website, you consent to our use of cookies. I send out an email most Fridays, so be sure to check your inbox next Friday! 2011 Aug;94(2):666S-72S. Pernicious anemia is also treated with folic acid to help maintain red blood cells. Then i had a crash 3 weeks ago. Research from 2015 suggests that vitamin B12 deficiency is more likely to affect those aged over 60 years and that some people may benefit from vitamin B12 injections. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Mean serum HCY concentrations tended to increase by 3% from 0 to 30 g of alcohol/day (9.44+/-0.37 vs 9.73+/-0.37 micromol/l; P=0.05). This is one of a series of articles on Fit Recovery about basic nutrients that are depleted by alcohol. Thanks! Damaged gut lining - Alcohol directly damages the lining of the stomach and intestines, making it harder to absorb . The symptoms of vitamin B12 deficiency in the body can take years to show up and sometimes is misdiagnosed as folate deficiency. Vitamin B12 is essential for the body to function properly since it helps with processes like red blood cell production, DNA synthesis, short-term memory, and more. Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days Please enable it to take advantage of the complete set of features! We do not endorse non-Cleveland Clinic products or services. Vitamin b12. Drug class: Vitamins. (did drink alcohol 4 days prior to blood work, but typically drink once a week). Generic name: cyanocobalamin (injection) [sye-AN-oh-koe-BAL-a-min] Copyright 1996-2023 Cerner Multum, Inc. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Gastritis reduces the production of hydrochloric acid which leads to the growth of intestinal bacteria. If you are deficient in vitamin B-12, these enzymatic reactions cannot occur, which could lead to a buildup of a compound called homocysteine. Depression. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. PMC For pernicious anemia, you may have to use Vitamin B12 injection for the rest of your life. Treating vitamin B12 or folate deficiency anaemia Most cases of vitamin B12 and folate deficiency can be easily treated with injections or tablets to replace the missing vitamins. Vitamin B12 is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions. 2023 Fit Recovery Labs, LLC. Cyanocobalamin injection is used to treat and prevent a lack of vitamin B 12 that may be caused by any of the following: pernicious anemia (lack of a natural substance needed to absorb vitamin B 12 from the intestine); certain diseases, infections, or medications that decrease the amount of vitamin B 12 absorbed from food; or a vegan diet (strict vegetarian diet that does not allow any animal . Vitamin B-12 injections or nasal spray might be prescribed to treat vitamin B-12 deficiency. Vitamin B12 is mostly stored in the liver and thus its deficiency can lead to an increased risk of liver disease and inflammation which is referred to as cirrhosis. Vitamin B12 is an essential water-soluble vitamin that plays a role in many bodily functions, including: Without vitamin B12, a person may start to feel tired and weak due to megaloblastic anemia. a vitamin B-12 deficiency can lead to anemia, fatigue, muscle weakness, intestinal problems, nerve damage and mood disturbances. You should not use Vitamin B12 if you are allergic to cobalt, or if you have Leber's disease. Cyanocobalamin pregnancy and breastfeeding warnings, Detailed Cyanocobalamin dosage information, Cyanocobalamin (B12) Capsules and Tablets, Cyanocobalamin (B12) Extended-Release Tablets. Between them, they contain a lot of powerful nutrients for biochemical repair. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. An Updated Review. Alcohol is a poison that never did anybody any good, ever. A deficiency in vitamin B12 can lead to various health problems, ranging from fatigue to permanent neurological changes. Harmful Effects Vitamin B-12 deficiency negatively affects. Can diet help improve depression symptoms? Oral contraceptives did not affect biochemical folate indexes and homocysteine concentrations in adolescent females. any ideas? why? Vitamin B12 helps in the manufacture of red blood cells. thanks for that comment or letter. A B12 deficiency may also cause diarrhea, nausea, constipation, bloating, gas, and other gastrointestinal symptoms ( 2, 19 ). Vitamin B-12 is a water-soluble B complex vitamin. When I quit drinking, I was deficient in many vitamins and minerals despite being an otherwise active man in my twenties. If dietary sources are insufficient, however, a doctor may recommend supplementation through pills or injections, depending on the cause of the deficiency. What Is the Best Non-Surgical Treatment for Wrinkles? Label: Vitamin deficiency injectable system - B12 - cyanocobalamin kit. Clipboard, Search History, and several other advanced features are temporarily unavailable. If B-12 supplementation does not begin quickly, changes can be observed in organ structure. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Mayo Clinic does not endorse companies or products. Or are you a person who likes to finish your day with a small drink? Please seek professional care if you believe you may have a condition. Uses. I take b12 shots. vegans and people who have conditions that affect their ability to . Alcohol and Vitamin B12 Deficiency Effects, Vitamin B12 helps in the production of brain chemicals and also helps with some crucial brain functions. Most people can prevent vitamin B12 deficiency by consuming enough of it in their diet. Examples include cimetidine, famotidine and ranitidine. There are two things that need to happen in order for your body to absorb vitamin B12 from the food you eat. I hope youve learned something useful from this article about vitamin B12 and alcohol. its been 2 weeks & my entire shoulder hurt should l be worried? Common Vitamin B12 side effects may include: This is not a complete list of side effects and others may occur. All rights reserved. Review/update the . Started slowly. 2019 Jul 30;32(4):589-592. doi: 10.1080/08998280.2019.1641045. Everything You Need to Know. Studies show that even a little amount of alcohol can decrease vitamin B12 absorption by about 5-6%. A former investment banker, he recovered from alcohol dependence using cutting-edge methods that integrate nutrition, physiology, and behavioral change. The site is secure. More severe side effects of vitamin B12 deficiency include: Peripheral neuropathy. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Policy. 8600 Rockville Pike Vitamin B12 side effects. Vitamin B12 is found in animal products you eat and drink such as meat, dairy and eggs. Click here for an email preview. Indicators for assessing folate and vitamin B-12 status and for monitoring the efficacy of intervention strategies. Of course still workout andRead more . Most people enjoy drinking alcohol, but even moderate amounts of alcohol consumption can have negative effects on the amount of vitamin B-12 you absorb. Is the ketogenic diet right for autoimmune conditions? More severe side effects of vitamin B12 deficiency include: Untreated vitamin B12 deficiency can lead to severe neurological (nervous system) damage, which can put an individual at a higher risk of mortality. What are the symptoms of vitamin B-12 deficiency? The study design was a randomized, diet-controlled crossover intervention. b12 therapy for macrocytosis ineffective. You may experience numbness and tingling in your feet and hands and may have trouble keeping your balance. All rights reserved. 2011 Jul;94(1):322S-331S. Cyanocobalamin (B12) Injection Generic name: Cyanocobalamin (B12) Injection [ sye-an-oh-koe-BAL-a-min ] Brand name: Cobal 1000 Drug class: Vitamins Medically reviewed by Drugs.com. Your dose needs may be different during pregnancy or while you are nursing. If a person has low vitamin B12 levels due to a health condition, a doctor may recommend oral supplementation or injections of the vitamin. Are you a social drinker? Some people can experience problems related to a vitamin B12 deficiency, despite appearing to have normal levels of vitamin B12 in their blood. Healthcare providers will usually do routine blood tests to check for vitamin B12 deficiency in people who have a high risk of developing it. 2021 Sep 1;21(1):982. doi: 10.1186/s12885-021-08721-8. This site needs JavaScript to work properly. As a result, people with alcoholism have decreased vitamin B-12 absorption and a higher risk of developing a B-12 deficiency. Nascobal, Neuroforte-R, CaloMist, Cobal 1000, +4 more. What is the purpose of a vitamin B-12 level test? Available for Android and iOS devices. For these, please consult a doctor (virtually or in person). Connect with a U.S. board-certified doctor by text or video anytime, anywhere. There's no solid proof that vitamin B-12 shots, also called injections, help you lose weight. information is beneficial, we may combine your email and website usage information with Conclusions: Treasure Island, FL: StatPearls Publishing; 2020. Epub 2011 Jul 6. for weight loss. A single copy of these materials may be reprinted for noncommercial personal use only. If you abuse alcohol, you are less likely to eat a healthy diet that has a variety of foods from all five food groups. Do not stop using the medicine unless your doctor tells you to. heart problems - swelling, rapid weight gain, feeling short of breath; fluid build-up in or around the lungs - pain when you breathe, feeling short of breath while lying down, wheezing, gasping for breath, cough with foamy mucus, cold and clammy skin, anxiety, rapid heartbeats; or. Studies show that even a little amount of alcohol can decrease vitamin B12 absorption by about 5-6%. Bookshelf Meat, milk, and cheese are good sources of vitamin B12. Two common types of GERD medicines have been associated with B-12 deficiency to varying degrees: H-2-receptor blockers. . Because of this, their body cannot properly absorb vitamin B12, which causes a vitamin B12 deficiency. If you are suffering from B12 deficiency and require acne scar treatment or pigmentation treatment, then we are here to help. Having your injection Side effects Pregnancy, breastfeeding and fertility Having it with other medicines and herbal supplements . Get FREE daily coaching messages from Chris Scott to help you quit or cut down on alcohol in just 10 days. Vitamin B12 toxicity is extremely rare. The B vitamins that I took for six months after I quit drinking definitely helped me feel better, and fixing my vitamin B12 deficiency probably helped in more ways than I understood at the time. Typically, people are asked to fast for 12 hours before the test. Get FREE daily coaching messages from Chris Scott to help you quit or cut down on alcohol in just 10 days! You might also face a higher risk of other deficiencies, including folate, of vitamin B-9. Blood collected at baseline and week 8 of each treatment period was analyzed for serum folate, vitamin B(12), homocysteine (HCY), and methylmalonic acid (MMA) concentrations. This is the case because damaged liver cells can no longer maintain crucial stores of vitamin B12, letting them loose into the blood. Common neural symptoms that present include a profound sense of depression and confusion. Vitamin B12 is present in many dietary sources, such as: In animal-based foods, vitamin B12 binds to the protein molecules. Among healthy, well-nourished, postmenopausal women, moderate alcohol intake may diminish vitamin B(12) status. Medically reviewed by Philip Thornton, DipPharm. However, high doses of oral vitamin B12 might also be effective. Options for vitamin B12 treatment include: A person is more likely to develop vitamin B12 deficiency if they have one or more of the following risk factors: Most people can prevent vitamin B12 deficiency by consuming foods and drinks that have vitamin B12. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Heavy drinking depletes vitamin B12 through a number of mechanisms: Diuretic effect - Alcohol significantly increases urinary excretion of vitamin B12, which is taken from the blood and liver. Methylcobalamin. People must always inform a doctor about all prescription and over-the-counter drugs they are taking before receiving a vitamin B12 shot. Dermatologist Approved Tips for Spring Skincare Routine, Everything You Need to Know About Morpheus8, Roll Back the Years at Todays Skin Rejuvenation Clinics, 5 Skin Rejuvenation Treatments That Can Make You Look Younger, Importance of good skin care practice | Skin Care Practice, 5 Treatments to Get Rid of Sagging Skin and Get Tightened Youthful Skin Instead. I limit myself because it just . Keep. Uses Before taking Warnings Side effects Overdose Dosage Uses of Cyanocobalamin Injection: It is used to help with some kinds of anemia. Vitamin B12 is needed to make red blood cells. Although the effects of heavy alcohol intake on folate and vitamin B(12) status have been well-documented, few studies have addressed the effects of moderate alcohol intake in a controlled setting. Vitamin B-12 injections are often given to those who ingest alcohol on a consistent basis, because chronic alcohol exposure is a precursor for significant deficiency. Facts & Comparisons eAnswers. Accessed Jan. 9, 2021. Vitamin B-12 injections and alcohol ingestion, Drexel University College of Medicine: Anemia B-12 Deficiency, University of Maryland Medical Center: Alcoholic Neuropathy, University of Maryland Medical Center: B-12 Deficiency Symptom. Before I quit drinking, I had extremely low energy levels, tingling sensations in my limbs, and symptoms of an inflamed liver. Moderate-to-severe chronic alcohol consumption can have damaging effects on your stomach lining, causing a condition called atrophic gastritis, or inflammation of the stomach. So stay away from alcohol. How Alcohol Depletes Vitamin B12. 1998 Jan;98(1):49-55. doi: 10.1016/S0002-8223(98)00014-5. The content on fitrecovery.com is designed to support, not replace, medical or psychiatric treatment. At least 4% of people aged 40 to 59 years old. If you have liver disease, be sure to take supplements and medications only under the supervision of a doctor. 5 spring care tips for a healthy and glowing skin. National Library of Medicine Cyanocobalamin is available in liquid, tablet, and capsule form. The relationship between vitamin B12 and alcohol is well known, especially since prolonged alcohol exposure severely depletes stores of this vitamin. free t3 2.7 free t4 1.36 tsh 1.6 mcv 106.9 mch 34.6 cl 110 rdw 11.2 b12 245 ua rbc 10-20 occult blood 2+ on synthroid (thyroxine) no alcohol b12 per dr. For the past month or so, my feet get swollen after drinking alcohol. If your doctor prescribes vitamin B12 injections, they will usually give you hydroxocobalamin, another type of vitamin B12. WANT TO DOMINATE ALCOHOL AND LIVE YOUR BEST LIFE? Fairfield KM. AndRead more . Vitamin B12 can improve your mood during weight loss programs. Dorgan JF, Jung S, Dallal CM, Zhan M, Stennett CA, Zhang Y, Eckert RL, Snetselaar LG, Van Horn L. Cancer Causes Control. Vitamin B-12 deficiency is not common in the U.S. . Without intrinsic factor or a diet that contains the recommended intake of vitamin B-12, the amount of vitamin B-12 found in the body is decreased. If you are a Mayo Clinic patient, this could Vitamin supplementation in disease prevention. Before Advertising revenue supports our not-for-profit mission. It is possible you may need shots every month for the rest of your life. The table below contains the recommended dietary allowances (RDAs) for vitamin B12. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Alcohol uses up B12 and in my experience I'd say it's the alcohol and your low B12 that's the problem, not your B12 injection. Habitual alcohol consumption can affect levels of the B-12 vitamin in a number of ways. Blood sugar ok Then worse Ridiculous fatigue and brain fatigue Needing to pause inRead more . Heart failure: Could a low sodium diet sometimes do more harm than good? Alcohol intake had no significant effects on serum folate or MMA concentrations. For pernicious anemia, you may have to use Vitamin B12 for the rest of your life. Last updated on Dec 28, 2022. This article will discuss the importance of vitamin B12, symptoms of deficiency, and how to repair this deficiency while covering other nutritional bases as well. Few adverse effects have been reported from healthy people taking very large doses of vitamin B12. When there is reduced consumption of B12 vitamins along with its depletion due to alcohol, it can lead to various health conditions. All rights reserved. https://www.uptodate.com/contents/search. And, of course, if you're not eating a balanced diet, you could miss out on other nutrients crucial for good health, including vitamin C, protein, dietary fiber and more. People with vitamin B-12 deficiency may have a variety of symptoms, including fatigue, nerve problems, and, People with alcohol use disorder may experience vitamin deficiencies. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You usually pee out what you don't need. However, since most alcohol-dependent people already have poor gut health, it is difficult for them to absorb enough vitamin B12 from foods alone. During digestion, stomach acid causes it to separate from the protein, and a substance called intrinsic factor enables the bloodstream to absorb it. Im so grateful! Sun & Tue - Closed, 2081 Forest Ave, Suite 1, San Jose, CA 95128. Consider coenzyme q. Mayo Clinic does not endorse any of the third party products and services advertised. Adults need around 2.4 micrograms (mcg) of vitamin B12 a day, and people who are pregnant or breastfeeding need more. People with heavy, long-term exposure to alcohol need higher doses than the average person with a minor vitamin B12 deficiency. American Family Physician. (2020). low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling. Morpheus Laser The Latest in Skin Treatment. Vitamin b12 injection needle size. The https:// ensures that you are connecting to the Contact Customer Support for questions on your course, coaching, or products. Shipton MJ, Thachil J. Vitamin B12 deficiency a 21st century perspective. -Administer concomitant folic acid if needed. Symptoms of potential nervous system problems include: Confusion. The optimal way to repair an alcohol-induced nutrient deficiency is through supplementation. Keep it out of the reach of children and pets. any correlation? -100 mcg every 3 to 4 days for 2 to 3 weeks, then: Vitamin B12 plays an important role in maintaining the health of your nervous system and red blood cells. Vitamin B12 or folate deficiency anaemia Useful resources. If you have risk factors for developing vitamin B12 deficiency or are experiencing symptoms, be sure to contact your doctor to get a blood test to check your levels. However, in very rare cases, some people can experience side effects . Tell your doctor about all your current medicines and any medicine you start or stop using. Vitamin B-12 and other B vitamins play a role in producing brain chemicals that affect mood and other brain functions. None of them are nearly as powerful for repairing the vast spectrum of alcohol-induced nutrient deficiencies, including vitamin B12 deficiency, as the combination of Calm Support and Legion Triumph. i'm on vitamin b12. Vitamin B12 helps your body use fat and carbohydrates for energy and make new protein . Disclaimer: This site is not intended to provide and does not constitute medical, legal, or other professional advice. Advertising on our site helps support our mission. Vitamin B12 deficiency mimicking acute leukemia. Symptoms of vitamin B12 deficiency include: As we have already discussed, deficiency in vitamin B12 and alcohol addiction usually go hand in hand. This content does not have an Arabic version. However, low levels are rare in most healthy adults because the human liver stores vitamin B12 over time. If you have already been diagnosed with vitamin B12 deficiency and are experiencing new or concerning symptoms, be sure to reach out to your healthcare provider. The 20202025 Dietary Guidelines for Americans recommend meeting the need for vitamin B12 and other nutrients through diet first and foremost. Having a difficult time walking or speaking like you usually do. I was sober for 5 months then relapsed again and then found fit recovery. Some people have a rare condition called pernicious anemia, which means their stomach does not make intrinsic factor. Vitamin B12 deficiency can be treated with vitamin B12. A healthcare provider may teach you how to properly use the medication by yourself. You should not use Vitamin B12 if you are allergic to cyanocobalamin or cobalt, or if you have Leber's disease (an inherited form of vision loss). Epub 2019 Dec 11. Lack of vitamin B12 in the body often leads to anemia wherein the patient feels weak and tired most of the time. Answer From Daniel K. Hall-Flavin, M.D. Would you like email updates of new search results? If left untreated, vitamin B12 deficiency in infants can lead to permanent brain damage. l got a shot from a nurse she didn't clean my arm with an alcohol wipe. eCollection 2019 Oct. I like your article; very informative and helpful. Accessibility Vitamin B12 is then able to be absorbed by your digestive system. Scientific research indicates that alcohol consumption contributes to vitamin B12 deficiency, that supplementation with vitamin B12 can help restore levels of this nutrient, and that alcoholic liver injury results in the purging of vitamin B12 from the liver: Unfortunately, most research money in the U.S. goes to studying prescription drugs instead of basic nutrients like vitamin B12 that we need to function properly yet which cannot be patented. do smoke cigarettes. information and will only use or disclose that information as set forth in our notice of Learn about the supplements and strategies that helpover 80%of people transcend alcohol, A focus on the physical changes in the brain that keep the cycle of addiction going and how to biohack thatthese are the pieces never addressed at AA! Greta. They may be experiencing anaphylaxis, which is a severe allergic reaction. Khairan P, Sobue T, Eshak ES, Zha L, Kitamura T, Sawada N, Iwasaki M, Inoue M, Yamaji T, Shimazu T, Iso H, Tsugane S. BMC Cancer. doi: 10.3945/ajcn.111.013300. You may report side effects to FDA at 1-800-FDA-1088. Your appetite may diminish, and you may exhibit shortness of breath and swollen, bleeding gums. https://www.aafp.org/afp/2017/0915/p384.html. Vitamin B12 mainly occurs in animal foods, so people who follow a plant-based diet have a higher risk of vitamin B12 deficiency. Although alcohol intake has been positively associated with breast cancer risk in epidemiologic studies, a causal relationship has not been established, and the mechanisms mediating this association are speculative. Your best sources of vitamin B-12 are animal products such as beef, dairy, shellfish, salmon and eggs. The small intestine, the place where most absorption of B-12-containing foods takes place, is severely affected, which can make B-12 injections necessary. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Drug class: Vitamins. other information we have about you. Some peoples bodies do not produce enough stomach acid or intrinsic factor if they have a condition known as autoimmune atrophic gastritis. Does Drinking Alcohol Affect Vitamin B12 Levels? B-12 is necessary for many biological functions, including the maintenance of blood and neural cells. Vitamin B-12 is an essential nutrient you need for two enzymatic reactions in the body. Vitamin B12 deficiency causes many skin conditions like hyperpigmentation, acne, eczema, psoriasis, vitiligo and can lead to hair problems. Vitamin B12 can improve your mood during weight loss programs. Vitamin B12 is generally considered safe. https://www.uptodate.com/contents/search. Unauthorized use of these marks is strictly prohibited. Cleveland Clinic is a non-profit academic medical center. Copyright www.ranimd.com. it only takes 2 or 3 glasses of wine. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. With either type of medication, the risk of B-12 deficiency was significantly . Food sources of vitamin B-12 include poultry, meat, fish and dairy products. Vitamin B12 is injected into a muscle or under the skin. Folic acid alone will not treat Vitamin B12 deficiency or prevent possible damage to the spinal cord. Chris Scott founded Fit Recovery in 2014 to help people from around the world dominate alcohol dependence and rebuild their lives from scratch. Call your doctor at once if you have: heart problems--swelling, rapid weight gain, feeling short of breath; fluid build-up in or around the lungs-- pain when you breathe, feeling short of breath while lying down, wheezing, gasping for breath, cough with foamy mucus, cold and clammy skin, anxiety . Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Vitamin B-12 injections or nasal spray might be prescribed to treat vitamin B-12 deficiency. Vitamin B12 helps in the production of brain chemicals and also helps with some crucial brain functions. I suggest you have a bone marrow study. Habitual alcohol consumption can affect levels of the B-12 vitamin in a number of ways. 2022 Mar 16;11(3):564. doi: 10.3390/antiox11030564. Association of dietary intakes of vitamin B12, vitamin B6, folate, and methionine with the risk of esophageal cancer: the Japan Public Health Center-based (JPHC) prospective study. Your body does not make vitamin B12 on its own, so you have to consume food and drinks that have vitamin B12 in order to get it. Additionally, if a vitamin B-12 deficiency is severe, megaloblastic anemia can occur. Please seek professional care if you believe you may have a condition. You should not use Vitamin B12 injection if you are allergic to cobalt, or if you have Leber's disease. Your dose needs may change if you become pregnant, if you breastfeed, or if you eat a vegetarian diet. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, 20202025 Dietary Guidelines for Americans, https://www.ncbi.nlm.nih.gov/books/NBK441923/, https://rarediseases.info.nih.gov/diseases/10310/autoimmune-atrophic-gastritis, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933506/, http://lpi.oregonstate.edu/mic/vitamins/vitamin-B12, https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=579bd1fe-51a1-403f-a422-0fb701aab57d, https://www.sciencedirect.com/topics/food-science/recommended-dietary-allowance, https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494183/, https://pubmed.ncbi.nlm.nih.gov/25756278/.