感覺精力不足?美國約有3.6%的人口體內(nèi)缺乏維生素B12,有12.5%的人口攝入的維生素B12不足,你可能是其中之一。
紐約市醫(yī)療機(jī)構(gòu)Health Meets Wellness的內(nèi)科醫(yī)生和醫(yī)學(xué)主任伊麗莎白·夏普之前曾告訴《財(cái)富》雜志,要確認(rèn)自己是否缺乏維生素B12,第一步是看醫(yī)生。
她說道:“如果有人精力不濟(jì),我的第一反應(yīng)是建議對(duì)方進(jìn)行一系列檢查,然后再考慮服用膳食補(bǔ)充劑。”她表示,維生素(包括維生素B12)缺乏癥檢查,對(duì)于絕對(duì)素食主義者和素食主義者“至關(guān)重要”。
維生素B12有哪些作用?
根據(jù)美國國立健康研究院膳食補(bǔ)充劑辦公室(National Institutes of Health Office of Dietary Supplements)的數(shù)據(jù),維生素B12是一種營養(yǎng)物質(zhì)(或根據(jù)《發(fā)現(xiàn)》雜志的說法,是一系列名為鈷胺素的分子,其結(jié)構(gòu)中包含鈷離子),可維持血液與神經(jīng)細(xì)胞健康,并幫助生成人體細(xì)胞中的遺傳物質(zhì)DNA。維生素B12還能幫助預(yù)防巨幼細(xì)胞性貧血,這種血液狀況可能是讓一些人感到疲倦虛弱的罪魁禍?zhǔn)住?/p>
缺乏維生素B12的癥狀
除了虛弱和疲倦以外,B12缺乏癥還可能引發(fā)一系列其他癥狀,嚴(yán)重程度可能有所不同。這些癥狀包括:
? 皮膚蒼白
? 心悸
? 食欲不振
? 體重下降
? 不孕
? 因神經(jīng)問題導(dǎo)致的手腳刺疼
? 平衡問題
? 抑郁癥
? 意識(shí)模糊
? 癡呆
? 記憶力衰退
? 口腔潰瘍
每天需要攝入多少維生素B12?
每個(gè)人在不同年齡,維生素B12的攝入量不同,嬰兒每天需要攝入0.5微克,青少年和成年人每天需要攝入2.4微克甚至更多,而孕期和哺乳期的婦女分別需要攝入2.6微克和2.8微克。
含維生素B12的食物
許多動(dòng)物性食物中都含有維生素B12,因?yàn)榫S生素B12由腸道細(xì)菌生成,并在大多數(shù)食草動(dòng)物的肌肉組織中堆積,包括魚類、牛、雞和一些貝類;此外,許多家畜通過飼料補(bǔ)充維生素B12。維生素B12被動(dòng)物吸收后,會(huì)通過動(dòng)物性食物(如乳制品和肉類)傳遞到這些食品的食用者體內(nèi)。
維生素B12還存在于一些植物性食物當(dāng)中,包括一些蘑菇、海草和營養(yǎng)酵母等,但這不足以滿足絕對(duì)素食主義者的需求,他們特別應(yīng)該考慮接受維生素B12缺乏癥檢查,并提高攝入量,例如通過食用谷物和植物性牛奶等可補(bǔ)充維生素B12的食物,以及服用膳食補(bǔ)充劑。
藥劑學(xué)博士、膳食補(bǔ)充劑研究員和加州大學(xué)舊金山分校(University of California San Francisco)的教授凱西·登內(nèi)希表示,還有一些人群更容易出現(xiàn)維生素B12缺乏癥。登內(nèi)希此前曾接受《財(cái)富》雜志采訪,談?wù)撆c維生素有關(guān)的話題。這些人群中包括自身免疫性疾病惡性貧血的患者,他們無法吸收維生素B12,以及大量服用非處方類胃酸抑制劑(如法莫替丁片)的人群,因?yàn)樗麄內(nèi)鄙購膭?dòng)物蛋白中釋放維生素B12所需要的胃酸。
維生素B12膳食補(bǔ)充劑提高精力
服用維生素補(bǔ)充劑是提高維生素B12攝入量的簡(jiǎn)單方法。但要有選擇性地購買補(bǔ)充劑。
自然療法內(nèi)分泌學(xué)家、《這正常嗎?》(Is This Normal? )一書的作者喬琳納·布賴滕此前曾對(duì)《財(cái)富》雜志表示:“要小心那些價(jià)格明顯低于其他同類產(chǎn)品或看起來特別劃算的補(bǔ)充劑。它們通常使用質(zhì)量較差的成分,而且在某些情況下,由于它們不受監(jiān)管,因此它們實(shí)際上并沒有標(biāo)簽上所標(biāo)記的成分?!?/p>
為了幫助避免這些風(fēng)險(xiǎn),登內(nèi)希建議,首先要去咨詢醫(yī)療護(hù)理提供者或者注冊(cè)營養(yǎng)師,他們非常熟悉各種膳食補(bǔ)充劑。在準(zhǔn)備購買補(bǔ)充劑時(shí),一定要進(jìn)行一些調(diào)查研究,尤其是品牌調(diào)研。
消費(fèi)者可以咨詢國立健康研究院膳食補(bǔ)充劑辦公室和需要付費(fèi)訂閱的來源。如消費(fèi)者實(shí)驗(yàn)室(Consumer Lab)的檢驗(yàn)結(jié)果可以付費(fèi)查看,該機(jī)構(gòu)分析從可能的污染到保證膳食補(bǔ)充劑中含有其聲稱的成分等各種問題。登內(nèi)希之前曾告訴《財(cái)富》雜志稱:“人們經(jīng)常問我的一個(gè)問題是:‘我服用的這個(gè)品牌是不是好品牌?’”
維生素B12可能存在于多種維生素、B族維生素膳食補(bǔ)充劑和維生素B12補(bǔ)充劑中,它可能有許多天然的和人工合成的形式,包括氰鈷胺和腺苷鈷胺素等,有些補(bǔ)充劑是可在舌頭下溶化的舌下片。但國立健康研究院膳食補(bǔ)充劑辦公室稱,目前沒有研究證明任何形式的維生素B12膳食補(bǔ)充劑比其他同類產(chǎn)品更有效果。此外,國立健康研究院指出,有些補(bǔ)充劑的劑量遠(yuǎn)遠(yuǎn)高出推薦劑量,例如500微克或1,000微克,但由于人體只能吸收一小部分,因此這些劑量被認(rèn)為是安全的。
補(bǔ)充維生素B12的其他途徑
國立健康研究院指出,處方藥形式的維生素B12可以注射。據(jù)《今日醫(yī)學(xué)新聞》(Medical News Today)報(bào)道,這種情況通常適用于有維生素B12缺乏癥,同時(shí)存在吸收問題和接受過胃部手術(shù)的患者,因?yàn)樽⑸涫谷梭w無需經(jīng)過消化系統(tǒng),就能吸收維生素B12。
維生素B12還可以通過處方藥的形式以鼻凝膠噴入鼻腔,或者通過靜脈注射補(bǔ)充,但對(duì)于靜脈注射這種給藥方式的療效和安全性,人們存在不同的看法。
但登內(nèi)希強(qiáng)調(diào),無論你選擇以哪種方式補(bǔ)充維生素B12,歸根結(jié)底,“維生素B12能夠提高精力的唯一原因是,你正在改善缺乏癥。”(財(cái)富中文網(wǎng))
譯者:劉進(jìn)龍
審校:汪皓
感覺精力不足?美國約有3.6%的人口體內(nèi)缺乏維生素B12,有12.5%的人口攝入的維生素B12不足,你可能是其中之一。
紐約市醫(yī)療機(jī)構(gòu)Health Meets Wellness的內(nèi)科醫(yī)生和醫(yī)學(xué)主任伊麗莎白·夏普之前曾告訴《財(cái)富》雜志,要確認(rèn)自己是否缺乏維生素B12,第一步是看醫(yī)生。
她說道:“如果有人精力不濟(jì),我的第一反應(yīng)是建議對(duì)方進(jìn)行一系列檢查,然后再考慮服用膳食補(bǔ)充劑?!彼硎?,維生素(包括維生素B12)缺乏癥檢查,對(duì)于絕對(duì)素食主義者和素食主義者“至關(guān)重要”。
維生素B12有哪些作用?
根據(jù)美國國立健康研究院膳食補(bǔ)充劑辦公室(National Institutes of Health Office of Dietary Supplements)的數(shù)據(jù),維生素B12是一種營養(yǎng)物質(zhì)(或根據(jù)《發(fā)現(xiàn)》雜志的說法,是一系列名為鈷胺素的分子,其結(jié)構(gòu)中包含鈷離子),可維持血液與神經(jīng)細(xì)胞健康,并幫助生成人體細(xì)胞中的遺傳物質(zhì)DNA。維生素B12還能幫助預(yù)防巨幼細(xì)胞性貧血,這種血液狀況可能是讓一些人感到疲倦虛弱的罪魁禍?zhǔn)住?/p>
缺乏維生素B12的癥狀
除了虛弱和疲倦以外,B12缺乏癥還可能引發(fā)一系列其他癥狀,嚴(yán)重程度可能有所不同。這些癥狀包括:
? 皮膚蒼白
? 心悸
? 食欲不振
? 體重下降
? 不孕
? 因神經(jīng)問題導(dǎo)致的手腳刺疼
? 平衡問題
? 抑郁癥
? 意識(shí)模糊
? 癡呆
? 記憶力衰退
? 口腔潰瘍
每天需要攝入多少維生素B12?
每個(gè)人在不同年齡,維生素B12的攝入量不同,嬰兒每天需要攝入0.5微克,青少年和成年人每天需要攝入2.4微克甚至更多,而孕期和哺乳期的婦女分別需要攝入2.6微克和2.8微克。
含維生素B12的食物
許多動(dòng)物性食物中都含有維生素B12,因?yàn)榫S生素B12由腸道細(xì)菌生成,并在大多數(shù)食草動(dòng)物的肌肉組織中堆積,包括魚類、牛、雞和一些貝類;此外,許多家畜通過飼料補(bǔ)充維生素B12。維生素B12被動(dòng)物吸收后,會(huì)通過動(dòng)物性食物(如乳制品和肉類)傳遞到這些食品的食用者體內(nèi)。
維生素B12還存在于一些植物性食物當(dāng)中,包括一些蘑菇、海草和營養(yǎng)酵母等,但這不足以滿足絕對(duì)素食主義者的需求,他們特別應(yīng)該考慮接受維生素B12缺乏癥檢查,并提高攝入量,例如通過食用谷物和植物性牛奶等可補(bǔ)充維生素B12的食物,以及服用膳食補(bǔ)充劑。
藥劑學(xué)博士、膳食補(bǔ)充劑研究員和加州大學(xué)舊金山分校(University of California San Francisco)的教授凱西·登內(nèi)希表示,還有一些人群更容易出現(xiàn)維生素B12缺乏癥。登內(nèi)希此前曾接受《財(cái)富》雜志采訪,談?wù)撆c維生素有關(guān)的話題。這些人群中包括自身免疫性疾病惡性貧血的患者,他們無法吸收維生素B12,以及大量服用非處方類胃酸抑制劑(如法莫替丁片)的人群,因?yàn)樗麄內(nèi)鄙購膭?dòng)物蛋白中釋放維生素B12所需要的胃酸。
維生素B12膳食補(bǔ)充劑提高精力
服用維生素補(bǔ)充劑是提高維生素B12攝入量的簡(jiǎn)單方法。但要有選擇性地購買補(bǔ)充劑。
自然療法內(nèi)分泌學(xué)家、《這正常嗎?》(Is This Normal? )一書的作者喬琳納·布賴滕此前曾對(duì)《財(cái)富》雜志表示:“要小心那些價(jià)格明顯低于其他同類產(chǎn)品或看起來特別劃算的補(bǔ)充劑。它們通常使用質(zhì)量較差的成分,而且在某些情況下,由于它們不受監(jiān)管,因此它們實(shí)際上并沒有標(biāo)簽上所標(biāo)記的成分?!?/p>
為了幫助避免這些風(fēng)險(xiǎn),登內(nèi)希建議,首先要去咨詢醫(yī)療護(hù)理提供者或者注冊(cè)營養(yǎng)師,他們非常熟悉各種膳食補(bǔ)充劑。在準(zhǔn)備購買補(bǔ)充劑時(shí),一定要進(jìn)行一些調(diào)查研究,尤其是品牌調(diào)研。
消費(fèi)者可以咨詢國立健康研究院膳食補(bǔ)充劑辦公室和需要付費(fèi)訂閱的來源。如消費(fèi)者實(shí)驗(yàn)室(Consumer Lab)的檢驗(yàn)結(jié)果可以付費(fèi)查看,該機(jī)構(gòu)分析從可能的污染到保證膳食補(bǔ)充劑中含有其聲稱的成分等各種問題。登內(nèi)希之前曾告訴《財(cái)富》雜志稱:“人們經(jīng)常問我的一個(gè)問題是:‘我服用的這個(gè)品牌是不是好品牌?’”
維生素B12可能存在于多種維生素、B族維生素膳食補(bǔ)充劑和維生素B12補(bǔ)充劑中,它可能有許多天然的和人工合成的形式,包括氰鈷胺和腺苷鈷胺素等,有些補(bǔ)充劑是可在舌頭下溶化的舌下片。但國立健康研究院膳食補(bǔ)充劑辦公室稱,目前沒有研究證明任何形式的維生素B12膳食補(bǔ)充劑比其他同類產(chǎn)品更有效果。此外,國立健康研究院指出,有些補(bǔ)充劑的劑量遠(yuǎn)遠(yuǎn)高出推薦劑量,例如500微克或1,000微克,但由于人體只能吸收一小部分,因此這些劑量被認(rèn)為是安全的。
補(bǔ)充維生素B12的其他途徑
國立健康研究院指出,處方藥形式的維生素B12可以注射。據(jù)《今日醫(yī)學(xué)新聞》(Medical News Today)報(bào)道,這種情況通常適用于有維生素B12缺乏癥,同時(shí)存在吸收問題和接受過胃部手術(shù)的患者,因?yàn)樽⑸涫谷梭w無需經(jīng)過消化系統(tǒng),就能吸收維生素B12。
維生素B12還可以通過處方藥的形式以鼻凝膠噴入鼻腔,或者通過靜脈注射補(bǔ)充,但對(duì)于靜脈注射這種給藥方式的療效和安全性,人們存在不同的看法。
但登內(nèi)希強(qiáng)調(diào),無論你選擇以哪種方式補(bǔ)充維生素B12,歸根結(jié)底,“維生素B12能夠提高精力的唯一原因是,你正在改善缺乏癥?!保ㄘ?cái)富中文網(wǎng))
譯者:劉進(jìn)龍
審校:汪皓
Feeling low-energy? You could be among the estimated 3.6% of Americans who are deficient and 12.5% who get insufficient amounts of vitamin B12.
The first step to finding out is seeing your doctor, as Dr. Elizabeth Sharp, internist and medical director at Health Meets Wellness in New York City, previously told Fortune.
“If someone is dealing with low energy, my initial response would be to recommend a series of tests before considering supplements,” she said. Testing for vitamin deficiencies, including vitamin B12, she says, is “crucial,” especially in vegans and vegetarians.
What does vitamin B12 do?
Vitamin B12, according to the National Institutes of Health Office of Dietary Supplements, is a nutrient (or family of molecules called the cobalmins that incorporate an ion of the element cobalt in their structure, according to Discover) that helps keep your body’s blood and nerve cells healthy and helps make DNA, the genetic material in your cells. It also helps prevent megaloblastic anemia, a blood condition that may be the culprit behind someone feeling tired and weak.
Vitamin B12 deficiency symptoms
In addition to weakness and fatigue, a B12 deficiency may also prompt a slew of other symptoms, depending on the severity, including:
? pale skin
? heart palpitations
? loss of appetite
? weight loss
? infertility
? tingly hands and feet due to nerve problems
? balance issues
? depression
? confusion
? dementia
? poor memory
? mouth soreness
How much vitamin B12 do I need per day?
Everyone requires a certain amount of B12 depending on their age, starting with .5 mcg per day for infants up to 2.4 mcg for teens and adults and even more—2.6 mcg and 2.8 mcg, respectively, for women who are pregnant or breastfeeding.
Vitamin B12 foods
B12 is found in a wide array of animal-based foods, as it’s produced by a gut bacteria that is then accumulated in the muscle tissue of most herbivorous animals, including fish, cows, chickens, and some shellfish, throughout their lives; additionally, many livestock are supplemented with B12 through their feed. When it’s absorbed by the animal, it is in turn passed on to people who eat animal-based products such as dairy and meat.
Vitamin B12 does also accumulate in a few plant-based sources, including some mushrooms, seaweed, and nutritional yeast, but not enough to fortify vegans, who, in particular, should consider being tested for deficiency and then boosting intake with both B12-fortified foods, such as cereals and plant-based milks, and supplements.
Some other populations are also more likely to be deficient, according to Cathi Dennehy, a doctor of pharmacy, dietary supplement researcher, and professor at the University of California San Francisco, who previously spoke with Fortune about the vitamin. That includes folks with an autoimmune disorder called pernicious anemia, who are unable to absorb B12, and people who take a lot of over-the-counter stomach-acid reducers, like famotidine, because they don’t have the stomach acid to release the B12 from the animal protein.
B12 supplements for energy
Taking vitamin supplements is a simple way to boost your B12 intake. But be selective when making your purchase.
“Be wary of supplements that are far cheaper than the rest or look like a good deal,” Jolene Brighten, naturopathic endocrinologist and author of Is This Normal?, told Fortune previously. “Often these are using poor quality ingredients and in some cases, because they are not regulated, they won’t actually have what the label lists.”
To help avoid such risks, suggests Dennehy, start by speaking with your health care provider or a registered dietitian who is well-versed in supplements. Then, when you’re ready to buy, be sure to do some research, especially on the brand.
Consumers may want to consult the NIH Office of Dietary Supplements as well as subscription-based sources, such as Consumer Lab, which charges a fee for access to its test results, which looks into issues ranging from possible contaminants to making sure a supplement contains what it claims to, Dennehy previously told Fortune, noting, “A question that I get asked fairly frequently is, ‘Is this brand that I’m taking a good brand?’”
Vitamin B12 can be found in multivitamins, B-complex supplements, and by itself in a B12 supplement, which are available in many natural and synthetic forms including cyanocobalamin and adenosylcobalamin—some in a sublingual pill that dissolves under the tongue. But research has not shown that any form of supplemental vitamin B12 is better than others, according to the NIH Office of Dietary Supplements. Further, notes the NIH, some come in doses much higher than recommended amounts, such as 500 mcg or 1,000 mcg, but because your body absorbs only a small percentage, those doses are considered safe.
Other ways to get extra B12
A prescription form of vitamin B12 can be given as an injection, notes the NIH—typically for people with deficiencies who also have problems absorbing vitamin B12 as well as those who have undergone gastric surgery, as shots enable the body to absorb vitamin B12 without going through the digestive system, according to Medical News Today.
Vitamin B12 is also available by prescription as a nasal gel that’s sprayed into the nose—as well as through IV infusions, although there are mixed opinions on the efficacy and safety of this delivery method.
But finally, stressed Dennehy, however you opt to supplement yourself, “the only reason it would improve energy would be if you’re correcting a deficiency.”