What are the causes and treatment options for low vitamin B12 (cobalamin) levels?

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Causes of Low Vitamin B12

Vitamin B12 deficiency results from three primary mechanisms: inadequate dietary intake, impaired gastrointestinal absorption, and medication-induced malabsorption. 1

Dietary Causes

  • Vegan and vegetarian diets are the most common dietary cause, as B12 is found exclusively in animal-source foods including eggs, milk, red meat, poultry, fish, and shellfish 1, 2
  • Food insecurity and malnutrition lead to deficiency in individuals who cannot afford or access B12-rich foods 1
  • Restricted diets from eating disorders or food allergies (eggs, milk, fish) prevent adequate B12 intake 1
  • Elderly patients with dementia or frailty who have difficulty buying or preparing food are at high risk 1

Gastrointestinal and Malabsorption Causes

Gastric Causes

  • Atrophic gastritis affecting the gastric body impairs intrinsic factor production, which is essential for B12 absorption 1
  • Pernicious anemia (autoimmune destruction of gastric parietal cells) is a classic malabsorption cause 3

Intestinal Causes

  • Ileal resection >20 cm requires prophylactic monthly B12 injections for life, as the terminal ileum is the primary absorption site 3
  • Crohn's disease with ileal involvement >30-60 cm causes deficiency even without surgical resection 3
  • Bariatric surgery (especially Roux-en-Y gastric bypass and biliopancreatic diversion) permanently impairs B12 absorption 3
  • Celiac disease and other malabsorption syndromes disrupt intestinal B12 uptake 1

Medication-Induced Causes

  • Metformin is a well-documented cause requiring monitoring per MHRA safety advice 1
  • Proton pump inhibitors (PPIs) and H2 receptor antagonists reduce gastric acid needed for B12 release from food 1, 2
  • Colchicine interferes with B12 absorption 1
  • Anticonvulsants (phenobarbital, primidone, pregabalin) deplete B12 stores 1

High-Risk Populations Requiring Screening

  • Patients over 75 years have 18.1% prevalence of metabolic B12 deficiency 3
  • Family history of B12 deficiency or autoimmune conditions (thyroid disease, Sjögren syndrome, type 1 diabetes) increases risk 1
  • Chronic alcohol use disorder with or without liver involvement causes deficiency 2
  • Pregnant and breastfeeding women have increased B12 requirements 1

Clinical Pitfall to Avoid

Never assume normal B12 levels exclude deficiency—if clinical suspicion is high based on symptoms (neurological findings, macrocytosis, cognitive impairment) or risk factors, measure methylmalonic acid (>271 nmol/L confirms functional deficiency) even when serum B12 is borderline (140-200 pmol/L). 1, 4 This is critical because irreversible neurological damage can occur before serum B12 drops to clearly deficient levels. 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Vitamin B12 Injection Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Approach to Vitamin B12 Deficiency

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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