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Signs and symptoms of deficiency include:. Infants with vitamin B deficiency may fail to thrive. They may experience movement problems in addition to delayed development.
People with symptoms of pernicious anemia may also need a vitamin B level test. Pernicious anemia, which causes low levels of red blood cells, results from an inability to absorb vitamin B It often affects older adults or those who are lacking intrinsic factor.
Intrinsic factor is a substance in the stomach that binds to vitamin B so that the body can absorb it. Serum folate is the level of folic acid in the blood.
High serum folate levels can mask the symptoms of vitamin B deficiency and make its neurological symptoms worse. An abnormally high vitamin B status can be an early sign of liver disease, diabetes, or certain types of leukemia.
A doctor may use the results of a vitamin B test to help form their diagnosis. Certain people are more at risk of vitamin B deficiency than others, especially those who have low stomach acid or other digestive issues.
Stomach acid separates vitamin B from food so that the body can absorb it more efficiently. The following groups of people are more likely than others to experience low vitamin B levels:.
Doctors usually use a blood test to check vitamin B status, but home urine tests are also available. A doctor can check vitamin B as part of a standard blood test.
Although it is not necessary to fast before a B test, a person may need to if the doctor is also using the test to look at other components in the blood.
It is important that individuals tell their doctor about any medications and supplements they are taking, as some can affect the results. The result ranges vary from one laboratory to another, so it is important to discuss the results and their meaning with a doctor.
The doctor may also check the levels of methylmalonic acid MMA and other substances to evaluate for vitamin B deficiency.
These lab values help detect a vitamin B deficiency during the early stages. Individuals with low vitamin B levels often require regular injections of the vitamin.
These shots are more effective than supplements at raising vitamin B levels, especially when people have medical conditions that may make it more difficult to absorb supplements.
For some people, high doses of vitamin B supplements may improve B status. Supplements are available in capsule or liquid form from pharmacies, supermarkets, health stores, and online.
It may also be helpful to eat more foods that are rich in vitamin B There is no upper limit for vitamin B intake because consuming high levels does not cause problems.
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