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-   -   A question for Mrs. D about B12 (https://www.neurotalk.org/peripheral-neuropathy/156552-question-b12.html)

darlindeb25 09-03-2011 06:36 AM

A question for Mrs. D about B12
 
I was reading yesterday and came across a comment about Vit B12 and was wondering if you could clear this up for me. The article says:
Quote:

The body is used to getting little bits of vitamin B12 here and there throughout the day. When confronted with a big dose of B12, it absorbs just a tiny fraction of the whole amount. So when you take B12 infrequently, you need rather large amounts in order to get enough.
This is from "Vegan For Life".

My question is, if this is true, would it be better to take a 2000 mcg in the morning and one at night instead of taking a 5000mcg once a day? Would we absorb more twice a day in this way?

I take 5000mcg daily and my neuro says to continue as I am because I am keeping myself away from meds in this way.

:hug:thanks!

mrsD 09-03-2011 06:45 AM

That is a simplistic explanation.

1) if a person has intact instrinsic factor still (often destroyed in autoimmune disease or by stomach acid lowering drugs), small amounts of oral B12 may still be well absorbed. MAY

2) But when intrinsic factor is NOT working at all, then large doses need to be used on a daily basis so that the minute amount will pass thru the intestinal lining under ideal conditions. This is called passive absorption since the carrier--intrinsic factor--- is not helping it. Tiny amounts of B12 eaten thruout the day--will not be absorbed at all if intrinsic factor is broken.
When this happens one needs at least 1mg of B12 orally daily on a EMPTY stomach. If one is very deficient, 5 mg daily is better until levels normalize then 1mg daily thereafter, is often sufficient for many but not all people.

I have yet to see a vegan site that discusses B12 correctly and accurately. I have seen some who claim B12 can be derived from vegetables! (which is a terrible error and very misleading)


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