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Hi Sue,

Hope this helps. It is better than me trying to explain it all and

is from a good site.

Dawn

Caution: Folic Acid and vitamin B12 deficiency

Folic acid can correct the anemia that is caused by vitamin B12

deficiency. Unfortunately, folic acid will not correct the nerve

damage also caused by vitamin B12 deficiency [1,36]. Permanent nerve

damage can occur if vitamin B12 deficiency is not treated. Folic

acid intake from food and supplements should not exceed 1,000 ìg

daily in healthy individuals because large amounts of folic acid can

trigger the damaging effects of vitamin B12 deficiency [7]. Adults

older than 50 years who take a folic acid supplement should ask

their physician or qualified health care provider about their need

for additional vitamin B12.

What is the relationship between vitamin B12 homocysteine, and

cardiovascular disease?

Cardiovascular disease involves any disorder of the heart and blood

vessels that make up the cardiovascular system. Coronary heart

disease occurs when blood vessels which supply the heart become

clogged or blocked, increasing the risk of a heart attack. Vascular

damage can also occur to blood vessels supplying the brain, and can

result in a stroke.

Cardiovascular disease is the most common cause of death in

industrialized countries such as the United States, and is on the

rise in developing countries. The National Heart, Lung, and Blood

Institute of the National Institutes of Health has identified many

risk factors for cardiovascular disease, including an elevated LDL-

cholesterol level, high blood pressure, a low HDL-cholesterol level,

obesity, and diabetes [37]. In recent years, researchers have

identified another risk factor for cardiovascular disease: an

elevated homocysteine level. Homocysteine is an amino acid normally

found in blood, but elevated levels have been linked with coronary

heart disease and stroke [38-47]. Elevated homocysteine levels may

impair endothelial vasomotor function, which determines how easily

blood flows through blood vessels. High levels of homocysteine also

may damage coronary arteries and make it easier for blood clotting

cells called platelets to clump together and form a clot, which may

lead to a heart attack [43].

Vitamin B12, folate, and vitamin B6 are involved in homocysteine

metabolism. In fact, a deficiency of vitamin B12, folate, or vitamin

B6 may increase blood levels of homocysteine. Recent studies found

that vitamin B12 and folic acid supplements decreased homocysteine

levels in subjects with vascular disease and in young adult women.

The most significant drop in homocysteine level was seen when folic

acid was taken alone [48-49]. A significant decrease in homocysteine

levels also occurred in older men and women who took a multivitamin/

multimineral supplement for 8 weeks [50]. The supplement taken

provided 100% of Daily Values (DVs) for nutrients in the supplement.

Evidence supports a role for folic acid and vitamin B12 supplements

for lowering homocysteine levels, however this does not mean that

these supplements will decrease the risk of cardiovascular disease.

Clinical intervention trials are underway to determine whether folic

acid, vitamin B12, and vitamin B6 supplements can lower risk of

coronary heart disease. It is premature to recommend vitamin B12

supplements for the prevention of heart disease until results of

ongoing randomized clinical trials positively link increased vitamin

B12 intake from supplements with decreased homocysteine levels AND

decreased risk of cardiovascular disease.

Do healthy young adults need a vitamin B12 supplement?

It is generally accepted that older adults are at greater risk of

developing a vitamin B12 deficiency than younger adults. One study,

however, suggests that the prevalence of vitamin B12 deficiency in

young adults may be greater than previously thought. This study

found that the percentage of subjects in three age groups (26-49

years, 50-64 years, and 65 years and older) with deficient blood

levels of vitamin B12 was similar across all age groups but that

symptoms of vitamin B12 deficiency were not as apparent in younger

adults. This study also suggested that those who did not take a

supplement containing vitamin B12 were twice as likely to be vitamin

B12 deficient as supplement users, regardless of age group. However,

people who did not use supplements but did eat fortified cereal more

than 4 times per week appeared to be protected from deficient blood

levels of vitamin B12. Better tools and standards to diagnose

vitamin B12 deficiencies are needed to make specific recommendations

about the appropriateness of vitamin B12 supplements for younger

adults [51].

What is the health risk of too much vitamin B12?

The Institute of Medicine of the National Academies did not

establish a UL for this vitamin because vitamin B12 has a very low

potential for toxicity. The IOM states that " no adverse effects have

been associated with excess vitamin B12 intake from food and

supplements in healthy individuals " [7]. In fact, the IOM recommends

that adults older than 50 years get most of their vitamin B12 from

vitamin supplements or fortified food because of the high incidence

of impaired absorption in this age group of vitamin B12 from foods

that come from animals [7].

Selecting a healthful diet

As the 2000 Dietary Guidelines for Americans states, " Different

foods contain different nutrients and other healthful substances. No

single food can supply all the nutrients in the amounts you need "

[52]. For more information about building a healthful diet, refer to

the Dietary Guidelines for Americans

http://www.usda.gov/cnpp/DietGd.pdf [52] and the US Department of

Agriculture's MyPyramid food guidance system

http://www.nal.usda.gov/fnic/Fpyr/pyramid.html [53].

About ODS and the NIH Clinical Center

General Safety Advisory

Disclaimer

Print-friendly version

Posted Date:

10/7/2004

Updated:

4/26/2006 10:11 AM

References

Herbert V. Vitamin B12 in Present Knowledge in Nutrition. 17th ed.

Washington, D.C.: International Life Sciences Institute Press, 1996.

>

> >

> >

> >

> >

> > Wow, Cindy, I knew it was important, but not that important.

Mine is 13.4 on

> > a scale of 3.3-10.2 so it's quite elevated. I'm on Cardio-B

which is B12, B6

> > and Folate. Thanks for telling me, I'll be more diligent about

taking it.

> > What actually causes the elevation? I had a stress echo last

year and they

> > said everything was fine. How long should it take for the B's

to bring it

> > down?... Judy

> >

> > It is of utmost importance that you get your homocysteine

levels lowered !!

> > It is actully a much better test of possible heart attack then

cholestrol !!!

> > I know this because I have done the research due to having had a

heart attack

> > & dying during it !!! My cholestrol was ONLY 127. But the

Homocycteine was 12

> > on a scale of 1 to 15. I had no clue about homocystine before

the heart

> > attack.

> >

> > You lower it by taking the B COMPLEX, which is all the numbers,

6, 12, ect,

> > you also need Folic acid.

> >

> \

>

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Thanks Dawn :)

I just checked my bloodwork from April and my homocysteine levels are at 6.5.

Sue

Hi Sue,

Hope this helps. It is better than me trying to explain it all and

is from a good site.

Dawn

Caution: Folic Acid and vitamin B12 deficiency

Connect with others.

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>> Do I have to worry about exercising while I wait for these numbers to> come down?

Judy,

No you don't need to worry about exercise, it is important to exercise, it will help to lower the homocycstine too, as it is also very good for your heart, etc. I never really looked into how long you need to take the B complex & folic acid for it to change the numbers, but the piece that Dawn posted said 8 weeks. I will be taking it until I die, I'm not taking any chances.....lol.... Also, if any doc ever tells you not to take it tell him to stick it up his hinney. Years ago I read a readers digest & the person said,"People who argue with thier doctors live longer then those who don't," I never forgot that & it has served me well. My wonderful doctor that retired told me,"I am not worried about you at all, you take the time to find out for yourself & you don't believe everything I tell you". Most doc's think they are little God's & know everything it is very important that we take it upon ourselves to learn about ourselves, bring articles to the Doctor office if you have too.

Cindy

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Thanks Cindy, I will remember that. I've always been very complacent with doctors. I try to stand up to them, but then I back down quickly. I won't do that again. Here there are many to choose from, but back in Canada now you're lucky to get on a docs list and so you don't rock the boat much while you're there.

As for the Cardio-B, my new doctor actually gave it to me. That and 'Digestive Gold' to aid my liver and 'Tri-Salts' to lower my acidity (cal, mag, pot). He seems to be on the ball and is not into prescription meds unless necessary. He's a Doctor of Osteopathy and runs a wellness clinic. I will keep taking them even if I have to switch docs.

I also take Maca Root for menopause, MSM, Vitalert Multi, Vitamin C, Vitamin E, Omega 3-6-9 and Garlic. Anything there I should worry about?... Judy

Also, if any doc ever tells you not to take it tell him to stick it up his hinney.

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  • 3 months later...

HELLO EVERYONE

IM WANDA AND IM NEW TO THE GROUP....

I HAVELOOKED THRU ALL THE PI'S ON HERE AND I MUST SAY EVERYONE LOOKS

BEAUTIFUL BEFORE AND SURE NUFF AFTERWARDS.

I AM LOOKING FORWARD TO THE DAY I MAKE THAT STEP.

IS THERE ANYONE THAT IS CLOSE TO ME THAT HAD THE OPERATION DONE?

I HAVE TALKED TOTHE SURGENT AND HIS LADY THAT WORK WITH HIM..HE SEEM

REALLY NICE AND SHE HAS HAD THE SURGERY.

AND NOW LOOKS GREAT.

FOR THOSE WHO HAVE LOST OVER 100+ LBS.

DO U HAVE TO HAVE TUCKS LIKE(ARMS AND STOMACH,ETC)..?

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