Skip to Content

Vitamin B12 Deficiency, Ambulatory Care

Vitamin B12 deficiency

is a low level of vitamin B12 in your body. Vitamin B12 is only found in foods that come from animal sources such as fish, beef, dairy products, and eggs. Vitamin B12 deficiency should be treated as early as possible. Without treatment, it can cause permanent nerve damage over time.

Common symptoms include the following:

  • Fatigue or weakness
  • Loss of appetite or weight loss
  • Constipation
  • Depression, confusion, dementia, or poor memory
  • Mouth or tongue soreness
  • Trouble keeping your balance
  • Numbness or tingling in your hands or feet
  • In infants and children, irritability, poor growth, developmental delay, or movement disorders

Contact your healthcare provider for any of the following:

  • Symptoms continue or get worse
  • Questions or concerns about your condition or care

Treatment for vitamin B12 deficiency

may include any of the following:

  • For low intake deficiency , you may need to eat more foods that contain or are fortified with vitamin B12. You may also need to take an over-the-counter supplement.
  • For low absorption deficiency , you may need several high doses of vitamin B12 to increase your levels. These doses of vitamin B12 may be given as a shot or pill. You may need to take these vitamin B12 supplements for the rest of your life.

Good sources of vitamin B12:

  • 3 ounces of cooked clams, 84.1 mcg
  • 3 ounces of cooked beef liver, 70.7 mcg
  • Fortified breakfast cereals, 1.5 to 6 mcg per serving
  • 3 ounces of salmon, rainbow trout, or canned tuna fish, 2.5 to 4.8 mcg
  • 3 ounces of top sirloin beef, 1.4 mcg
  • 1 cup of milk or yogurt, 1.1 to 1.2 mcg
  • 1 cup of a soy milk product, 0.9 to 3.3 mcg
  • 1 ounce of a meat substitute, 0.5 to 1.2 mcg
  • 1 ounce Swiss cheese, 0.9 mcg
  • 1 large egg, 0.6 mcg

Amount of vitamin B12 you need each day:

  • Infants 0 to 12 months: 0.4 micrograms (mcg) to 0.5 mcg
  • Children 1 to 3 years: 0.9 mcg
  • Children 4 to 8 years: 1.2 mcg
  • Children 9 to 13 years: 1.8 mcg
  • Children over 14 years and adults: 1.8 mcg
  • Pregnant women and adolescents (over 14 years): 2.6 mcg
  • Breastfeeding women and adolescents (over 14 years): 2.8 mcg

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Hide