Once you begin treating your vitamin B12 deficiency, it can take up to six to 12 months to fully recover. It is also common to not experience any improvement during the first few months of treatment. If you can, it's a good idea to address what's causing the deficiency.
Vitamin B12 deficiency resulting from inadequate dietary intake is the easiest to treat. The condition can be reversed by taking oral vitamin B12 supplements and adding foods containing B12.
A vitamin B12 deficiency can cause megaloblastic anemia. Megaloblasts are immature red blood cells that are larger than normal. They usually have an odd shape, too. When you have anemia, your red blood cells have trouble getting oxygen to your tissues and organs.
A deficiency of vitamin B12 can cause neurological and psychiatric problems that “can progress if left untreated, and can lead to irreversible damage,” said Dr. Donald Hensrud, director of the Mayo Clinic's Healthy Living Program. Fortunately, it can be reversed fairly easily with vitamin pills or injections.
Peripheral neuropathy is the most common presentation of vitamin B12 deficiency. Depending upon the type of nerve involved, it may present as pain, numbness, tingling, loss of sensation, decreased motor activity, or decreased muscle mass.
The NHS notes that vitamin B12 deficiency can cause “loss of physical coordination (ataxia), which can affect your whole body and cause difficulty speaking or walking”. The Mayo Clinic describes the walking style saying a person with vitamin B12 deficiency can walk unsteadily, or with their feet set wide apart.
How long does it take to recover from B12 deficiency? Once you begin treating your vitamin B12 deficiency, it can take up to six to 12 months to fully recover. It is also common to not experience any improvement during the first few months of treatment.
Patients with B12 levels between 200 and 300 pg/mL are considered borderline, and further enzymatic testing may be helpful in diagnosis. Patients with B12 levels below 200 pg/mL are considered deficient.
Stage 1 is decreased levels of vitamin B12 in the blood. Stage 2 is low concentration of vitamin B12 in the cell and metabolic abnormalities. Stage 3 is increased levels of homocysteine and MMA and decreased DNA synthesis resulting in neuropsychiatric symptoms. Stage 4 is macrocytic anemia.
You might get frequent headaches if your vitamin B12 levels are too high. Elevated levels of this vitamin can also cause gastrointestinal problems such as diarrhea, nausea, and vomiting. You may feel tired and weak. High amounts of vitamin B12 can also cause you to feel like your hands and feet are tingling.
Fatigue. Megaloblastic anemia due to vitamin B-12 deficiency may lead to a person feeling fatigued. Without enough red blood cells to carry oxygen around their body, a person can feel extremely tired.
Symptoms of B-12 deficiency can be subtle at first. Early symptoms may include a persistent tingling or prickly feeling in your feet or hands, weakness, numbness, imbalance, and mental problems such as confusion, depression, irritability and forgetfulness. Rarely, vitamin B-12 deficiency is a cause of dementia.
Having a digestive system disorder: Digestive disorders such as celiac disease and Crohn's disease can make it more difficult for your body to absorb vitamin B12. Following a strict vegan or vegetarian diet: Vitamin B12 is only naturally found in animal products such as meat and dairy.
There are certain foods that also need a cut-down in case of vitamin B12 deficiency. “Some foods and drinks can interfere with vitamin B complex intake like alcohol, caffeine and processed foods, etc should be avoided completely,” Shah added.
If you have had neurological symptoms that affect your nervous system, such as numbness or tingling in your hands and feet, caused by a vitamin B12 deficiency, you'll be referred to a haematologist and may need to have injections every 2 months.
It may take a few weeks before your vitamin B12 levels and symptoms (such as extreme tiredness or lack of energy) start to improve. If you have hydroxocobalamin injections to boost your vitamin B12 levels at the start of treatment, the cyanocobalamin tablets may start to work within a few days.
Long-term vitamin B12 deficiency can cause nerve damage. This may be permanent if you do not start treatment within 6 months of when your symptoms begin. Vitamin B12 deficiency anemia most often responds well to treatment. It will likely get better when the underlying cause of the deficiency is treated.
What Abnormal Results Mean. Values of less than 160 pg/mL (118 pmol/L) are a possible sign of a vitamin B12 deficiency. People with this deficiency are likely to have or develop symptoms. Older adults with a vitamin B12 level less than 100 pg/mL (74 pmol/L) may also have symptoms.
Pernicious anaemia causes your immune system to attack the cells in your stomach that produce the intrinsic factor, which means your body is unable to absorb vitamin B12.
The range of time that B12 injections can last will depend on factors like a person's metabolism and how often the injections occur. As a whole, the effects of vitamin b12 injections can last for a week.
Inadequate dietary intake
A balanced diet typically provides sufficient vitamin B12; however, strict vegans and people with a poor diet are at higher risk of developing a deficiency. Good sources of vitamin B12 include: Meat. Fish.
Disturbed or blurred vision can also occur as a result of a Vitamin B12 deficiency. This happens when the deficiency causes damage to the optic nerve that leads to your eyes. The nervous signal that travels from the eye to the brain is disturbed due to this damage, leading to impaired vision.
While generally safe, common B12 side effects include diarrhea and swelling at the injection site. If you experience more severe side effects, tell your prescribing doctor.