#290
The Number
I did my annual checkup last year and everything came back normal. Vitamin B12, aka cobalamin, showed up a little over 180. On the lower end, but close enough to healthy. No flags from the doc. Life was hunky-dory and I went on my way.
With one teeny change. I stopped consuming dairy completely. Going from vegetarian to vegan meant zero animal sources from then on.
A year and a half later, the next checkup showed B12 at 118. A drop of 62 points, roughly a third, in one metric. That signals deficiency. My physician linked it straight to my switch to veganism and suggested I start supplements.
For context, most labs read B12 like this: below 200 pg/mL is deficient, 200 to 300 is a gray zone worth retesting, 300 to 900 is normal, and functional medicine folks aim for a tighter sweet spot of 500 to 900.
The Clues
Sometimes the mind likes to connect the dots, matching past situations to present data. Looking back, the clues were all there. Fatigue-filled days. Random energy dips despite steady coffee, nutrient-dense food, decent sleep and plenty of water. Not my 4PM crash kind of tired I'd written about earlier. A slower, heavier kind. Workouts felt harder and recovery took an extra day. I blamed sleep, the gray Seattle skies, and possibly Mercury in retrograde. With all my home-cooked, carefully planned meals, I didn't think I was missing anything.
The inner engineer in me kept that story in check. Correlation isn't causation. Still, the dots were lining up.
Being naturally curious, I started digging. Coincidentally, I'd enrolled in a college-level nutrition course at the time, and that particular week, I was studying the chapter on vitamins. Part curiosity, part homework. Over the next few posts, I'll share bits of what I'm learning in class, mixed with what I'm learning about my own body. Consider this the trailer.
Food Sources
Learnings
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Function: B12 helps make new cells, teams up with folate (another B vitamin) to make healthy red blood cells, and maintains the protective sheaths around nerve fibers. Fatigue is one of the first whispers when it runs low.
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Deficiency: Absorption of Vitamin B12 needs stomach acid and a compound called intrinsic factor. Low B12 can come from poor absorption too, which is why the recommendation is to rely on a professional diagnosis over self-diagnosis. Good thing I let my doc get there first. Also, B12 gets stored in the liver, which is why a year isn't usually enough to see a drop. The tank drains slowly, then all at once shows up on a lab report.
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Characteristic: B12 dissolves in water, so whatever my body doesn't use gets flushed out. Hence ingesting once-a-day chewable tablet helps meet the body's daily needs with no risk of toxicity.
"Know thyself," said the Oracle at Delphi. I'd add: Know thy lab report too!
Every line of it, not just the famous ones.