Robert wrote:
: "Juhana Harju" <[email hidden]> wrote in message
: news:[email hidden]...
:: Juhana Harju wrote:
::: Juhana Harju wrote:
::
:::: *40* percent of US population have either
:::: deficiency or suboptimal B12 levels. B12 may contribute to
:::: cognitive decline and dementia.
:::
::: A reference:
:
: The link mentions 40% of atrophic gastritis rendering absorption of
: B12 more problematic.
I have read that /Helicobacter pylori/ infection is one common factor
leading to atrophic gastritis, which in turn leads to lack of secretion of
intrinsic factor needed in B12 absorption. (I am not a physician.)
: It is also mentions
:
: "There is currently no clearly accepted cut-off for vitamin B12
: deficiency. A commonly used clinical cut-off for vitamin B12
: deficiency is 148 pM (250 pg/ml).((14)) However, there is evidence
: that the sensitivity of this clinical cut-off is poor and that many
: individuals with concentrations previously labeled as "low normal" do
: have clinical symptoms.((15,16)) We therefore also created a group
: between 148 and 185 pM (250 pg/ml) as a group at high risk of vitamin
: B12 deficiency, a group between 185 and 258 pM (350 pg/ml) as a group
: at moderate risk of deficiency, and >258 pM, a cut-off generally
: considered to be indicative of vitamin B12 adequacy.((15))"
:
: I always consider it bad form to start changing definitions of what
: constitutes vit B12 deficiency in a study.
Still it seems to me that it is reasonable to aim to have higher than
low-normal levels of B12.
: Suffice it to say that the relationship between B12 levels is there.
: Serum or blood B12 levels are not always accurate in determining B12
: deficiency. The blood levels may be normal and still have CNS
: deficiency with neurological problems. The various body compartments
: utilizes the vitamin at differing rates and one site may not be
: reflective of the other.
That is what I have heard too.
::: http://www.findarticles.com/p/articles/mi_m3741/is_8_48/ai_64781713
::
:: The data can be found from this study related to B12 status and
:: osteoporosis:
::
:: http://www.jbmr-online.com/fulltext/02001/01520/JBMR0200101520.html
::
:: Click _Table 2_.
::
::
:::: As B12 is considered to be very safe supplement, I think that it is
:::: reasonable to take higher doses of B12. Taking 1 mg twice a week
:::: is a widely given recommendation by many experts. Larger doses are
:::: needed if the secretion of intrinsic factor is impaired.
--
Juhana