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[56] [57] Low levels of serum vitamin B 12 may be caused by other factors than B 12 deficiency, such as folate deficiency, pregnancy, oral contraceptive use, haptocorrin deficiency, and myeloma. [57] High serum levels may caused by supplementing with vitamin B 12, present of antibodies to intrinsic factor, or due to underlying condition. [56]
This process is thought to be the most common cause of low B 12 in the elderly, who often have some degree of achlorhydria without being formally low in intrinsic factor. [128] This process does not affect absorption of small amounts of B 12 in supplements such as multivitamins, since it is not bound to proteins, as is the B 12 in foods. [128]
Nutritional causes are vitamin and mineral deficiencies and non-nutritional causes include infections. The number one cause of this type of anemia, however, is iron deficiency. [12] An insufficient intake of iron, Vitamin B12, and folic acid impairs the bone marrow function. The lack of iron within a person's body can also stem from ulcer bacteria.
The World Health Organization defines low ferritin in adults as below 15 nanograms per milliliter, but in clinical practice, iron deficiency may be diagnosed when ferritin is below 30 nanograms ...
If there are other, reversible causes of low vitamin B 12 levels, the cause must be treated. [106] Vitamin B 12 deficiency anemia is usually easily treated by providing the necessary level of vitamin B 12 supplementation. [107] The injections are quick-acting, and symptoms usually go away within one to two weeks. [107]
“Some people may eat a diet that has actually very little iron to be available for the body to absorb, and that can cause iron deficiency over long periods of time,” says Cunningham.
It is mainly used to differentiate an anemia of mixed causes from an anemia of a single cause. Deficiencies of Vitamin B 12 or folate produce a macrocytic anemia (large cell anemia) in which the RDW is elevated in roughly two-thirds of all cases. However, a varied size distribution of red blood cells is a hallmark of iron deficiency anemia, and ...
[6] [15] [26] Vitamin B 12 deficiency can also cause symptoms of mania and psychosis. [27] [28] Among other problems, weakened immunity, reduced fertility and interruption of blood circulation in women may occur. [29] The main type of vitamin B12 deficiency anemia is pernicious anemia, [30] characterized by a triad of symptoms:
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