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维生素B12如何助你精力充沛

BETH GREENFIELD
2024-10-09

缺乏维生素B12会导致哪些症状?

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感觉精力不足?美国约有3.6%的人口体内缺乏维生素B12,有12.5%的人口摄入的维生素B12不足,你可能是其中之一。

纽约市医疗机构Health Meets Wellness的内科医生和医学主任伊丽莎白·夏普之前曾告诉《财富》杂志,要确认自己是否缺乏维生素B12,第一步是看医生。

她说道:“如果有人精力不济,我的第一反应是建议对方进行一系列检查,然后再考虑服用膳食补充剂。”她表示,维生素(包括维生素B12)缺乏症检查,对于绝对素食主义者和素食主义者“至关重要”。

维生素B12有哪些作用?

根据美国国立健康研究院膳食补充剂办公室(National Institutes of Health Office of Dietary Supplements)的数据,维生素B12是一种营养物质(或根据《发现》杂志的说法,是一系列名为钴胺素的分子,其结构中包含钴离子),可维持血液与神经细胞健康,并帮助生成人体细胞中的遗传物质DNA。维生素B12还能帮助预防巨幼细胞性贫血,这种血液状况可能是让一些人感到疲倦虚弱的罪魁祸首。

缺乏维生素B12的症状

除了虚弱和疲倦以外,B12缺乏症还可能引发一系列其他症状,严重程度可能有所不同。这些症状包括:

• 皮肤苍白

• 心悸

• 食欲不振

• 体重下降

• 不孕

• 因神经问题导致的手脚刺疼

• 平衡问题

• 抑郁症

• 意识模糊

• 痴呆

• 记忆力衰退

• 口腔溃疡

每天需要摄入多少维生素B12?

每个人在不同年龄,维生素B12的摄入量不同,婴儿每天需要摄入0.5微克,青少年和成年人每天需要摄入2.4微克甚至更多,而孕期和哺乳期的妇女分别需要摄入2.6微克和2.8微克。

含维生素B12的食物

许多动物性食物中都含有维生素B12,因为维生素B12由肠道细菌生成,并在大多数食草动物的肌肉组织中堆积,包括鱼类、牛、鸡和一些贝类;此外,许多家畜通过饲料补充维生素B12。维生素B12被动物吸收后,会通过动物性食物(如乳制品和肉类)传递到这些食品的食用者体内。

维生素B12还存在于一些植物性食物当中,包括一些蘑菇、海草和营养酵母等,但这不足以满足绝对素食主义者的需求,他们特别应该考虑接受维生素B12缺乏症检查,并提高摄入量,例如通过食用谷物和植物性牛奶等可补充维生素B12的食物,以及服用膳食补充剂。

药剂学博士、膳食补充剂研究员和加州大学旧金山分校(University of California San Francisco)的教授凯西·登内希表示,还有一些人群更容易出现维生素B12缺乏症。登内希此前曾接受《财富》杂志采访,谈论与维生素有关的话题。这些人群中包括自身免疫性疾病恶性贫血的患者,他们无法吸收维生素B12,以及大量服用非处方类胃酸抑制剂(如法莫替丁片)的人群,因为他们缺少从动物蛋白中释放维生素B12所需要的胃酸。

维生素B12膳食补充剂提高精力

服用维生素补充剂是提高维生素B12摄入量的简单方法。但要有选择性地购买补充剂。

自然疗法内分泌学家、《这正常吗?》(Is This Normal? )一书的作者乔琳纳·布赖滕此前曾对《财富》杂志表示:“要小心那些价格明显低于其他同类产品或看起来特别划算的补充剂。它们通常使用质量较差的成分,而且在某些情况下,由于它们不受监管,因此它们实际上并没有标签上所标记的成分。”

为了帮助避免这些风险,登内希建议,首先要去咨询医疗护理提供者或者注册营养师,他们非常熟悉各种膳食补充剂。在准备购买补充剂时,一定要进行一些调查研究,尤其是品牌调研。

消费者可以咨询国立健康研究院膳食补充剂办公室和需要付费订阅的来源。如消费者实验室(Consumer Lab)的检验结果可以付费查看,该机构分析从可能的污染到保证膳食补充剂中含有其声称的成分等各种问题。登内希之前曾告诉《财富》杂志称:“人们经常问我的一个问题是:‘我服用的这个品牌是不是好品牌?’”

维生素B12可能存在于多种维生素、B族维生素膳食补充剂和维生素B12补充剂中,它可能有许多天然的和人工合成的形式,包括氰钴胺和腺苷钴胺素等,有些补充剂是可在舌头下溶化的舌下片。但国立健康研究院膳食补充剂办公室称,目前没有研究证明任何形式的维生素B12膳食补充剂比其他同类产品更有效果。此外,国立健康研究院指出,有些补充剂的剂量远远高出推荐剂量,例如500微克或1,000微克,但由于人体只能吸收一小部分,因此这些剂量被认为是安全的。

补充维生素B12的其他途径

国立健康研究院指出,处方药形式的维生素B12可以注射。据《今日医学新闻》(Medical News Today)报道,这种情况通常适用于有维生素B12缺乏症,同时存在吸收问题和接受过胃部手术的患者,因为注射使人体无需经过消化系统,就能吸收维生素B12。

维生素B12还可以通过处方药的形式以鼻凝胶喷入鼻腔,或者通过静脉注射补充,但对于静脉注射这种给药方式的疗效和安全性,人们存在不同的看法。

但登内希强调,无论你选择以哪种方式补充维生素B12,归根结底,“维生素B12能够提高精力的唯一原因是,你正在改善缺乏症。”(财富中文网)

译者:刘进龙

审校:汪皓

感觉精力不足?美国约有3.6%的人口体内缺乏维生素B12,有12.5%的人口摄入的维生素B12不足,你可能是其中之一。

纽约市医疗机构Health Meets Wellness的内科医生和医学主任伊丽莎白·夏普之前曾告诉《财富》杂志,要确认自己是否缺乏维生素B12,第一步是看医生。

她说道:“如果有人精力不济,我的第一反应是建议对方进行一系列检查,然后再考虑服用膳食补充剂。”她表示,维生素(包括维生素B12)缺乏症检查,对于绝对素食主义者和素食主义者“至关重要”。

维生素B12有哪些作用?

根据美国国立健康研究院膳食补充剂办公室(National Institutes of Health Office of Dietary Supplements)的数据,维生素B12是一种营养物质(或根据《发现》杂志的说法,是一系列名为钴胺素的分子,其结构中包含钴离子),可维持血液与神经细胞健康,并帮助生成人体细胞中的遗传物质DNA。维生素B12还能帮助预防巨幼细胞性贫血,这种血液状况可能是让一些人感到疲倦虚弱的罪魁祸首。

缺乏维生素B12的症状

除了虚弱和疲倦以外,B12缺乏症还可能引发一系列其他症状,严重程度可能有所不同。这些症状包括:

• 皮肤苍白

• 心悸

• 食欲不振

• 体重下降

• 不孕

• 因神经问题导致的手脚刺疼

• 平衡问题

• 抑郁症

• 意识模糊

• 痴呆

• 记忆力衰退

• 口腔溃疡

每天需要摄入多少维生素B12?

每个人在不同年龄,维生素B12的摄入量不同,婴儿每天需要摄入0.5微克,青少年和成年人每天需要摄入2.4微克甚至更多,而孕期和哺乳期的妇女分别需要摄入2.6微克和2.8微克。

含维生素B12的食物

许多动物性食物中都含有维生素B12,因为维生素B12由肠道细菌生成,并在大多数食草动物的肌肉组织中堆积,包括鱼类、牛、鸡和一些贝类;此外,许多家畜通过饲料补充维生素B12。维生素B12被动物吸收后,会通过动物性食物(如乳制品和肉类)传递到这些食品的食用者体内。

维生素B12还存在于一些植物性食物当中,包括一些蘑菇、海草和营养酵母等,但这不足以满足绝对素食主义者的需求,他们特别应该考虑接受维生素B12缺乏症检查,并提高摄入量,例如通过食用谷物和植物性牛奶等可补充维生素B12的食物,以及服用膳食补充剂。

药剂学博士、膳食补充剂研究员和加州大学旧金山分校(University of California San Francisco)的教授凯西·登内希表示,还有一些人群更容易出现维生素B12缺乏症。登内希此前曾接受《财富》杂志采访,谈论与维生素有关的话题。这些人群中包括自身免疫性疾病恶性贫血的患者,他们无法吸收维生素B12,以及大量服用非处方类胃酸抑制剂(如法莫替丁片)的人群,因为他们缺少从动物蛋白中释放维生素B12所需要的胃酸。

维生素B12膳食补充剂提高精力

服用维生素补充剂是提高维生素B12摄入量的简单方法。但要有选择性地购买补充剂。

自然疗法内分泌学家、《这正常吗?》(Is This Normal? )一书的作者乔琳纳·布赖滕此前曾对《财富》杂志表示:“要小心那些价格明显低于其他同类产品或看起来特别划算的补充剂。它们通常使用质量较差的成分,而且在某些情况下,由于它们不受监管,因此它们实际上并没有标签上所标记的成分。”

为了帮助避免这些风险,登内希建议,首先要去咨询医疗护理提供者或者注册营养师,他们非常熟悉各种膳食补充剂。在准备购买补充剂时,一定要进行一些调查研究,尤其是品牌调研。

消费者可以咨询国立健康研究院膳食补充剂办公室和需要付费订阅的来源。如消费者实验室(Consumer Lab)的检验结果可以付费查看,该机构分析从可能的污染到保证膳食补充剂中含有其声称的成分等各种问题。登内希之前曾告诉《财富》杂志称:“人们经常问我的一个问题是:‘我服用的这个品牌是不是好品牌?’”

维生素B12可能存在于多种维生素、B族维生素膳食补充剂和维生素B12补充剂中,它可能有许多天然的和人工合成的形式,包括氰钴胺和腺苷钴胺素等,有些补充剂是可在舌头下溶化的舌下片。但国立健康研究院膳食补充剂办公室称,目前没有研究证明任何形式的维生素B12膳食补充剂比其他同类产品更有效果。此外,国立健康研究院指出,有些补充剂的剂量远远高出推荐剂量,例如500微克或1,000微克,但由于人体只能吸收一小部分,因此这些剂量被认为是安全的。

补充维生素B12的其他途径

国立健康研究院指出,处方药形式的维生素B12可以注射。据《今日医学新闻》(Medical News Today)报道,这种情况通常适用于有维生素B12缺乏症,同时存在吸收问题和接受过胃部手术的患者,因为注射使人体无需经过消化系统,就能吸收维生素B12。

维生素B12还可以通过处方药的形式以鼻凝胶喷入鼻腔,或者通过静脉注射补充,但对于静脉注射这种给药方式的疗效和安全性,人们存在不同的看法。

但登内希强调,无论你选择以哪种方式补充维生素B12,归根结底,“维生素B12能够提高精力的唯一原因是,你正在改善缺乏症。”(财富中文网)

译者:刘进龙

审校:汪皓

Feeling low-energy? You could be among the estimated 3.6% of Americans who are deficient and 12.5% who get insufficient amounts of vitamin B12.

The first step to finding out is seeing your doctor, as Dr. Elizabeth Sharp, internist and medical director at Health Meets Wellness in New York City, previously told Fortune.

“If someone is dealing with low energy, my initial response would be to recommend a series of tests before considering supplements,” she said. Testing for vitamin deficiencies, including vitamin B12, she says, is “crucial,” especially in vegans and vegetarians.

What does vitamin B12 do?

Vitamin B12, according to the National Institutes of Health Office of Dietary Supplements, is a nutrient (or family of molecules called the cobalmins that incorporate an ion of the element cobalt in their structure, according to Discover) that helps keep your body’s blood and nerve cells healthy and helps make DNA, the genetic material in your cells. It also helps prevent megaloblastic anemia, a blood condition that may be the culprit behind someone feeling tired and weak.

Vitamin B12 deficiency symptoms

In addition to weakness and fatigue, a B12 deficiency may also prompt a slew of other symptoms, depending on the severity, including:

• pale skin

• heart palpitations

• loss of appetite

• weight loss

• infertility

• tingly hands and feet due to nerve problems

• balance issues

• depression

• confusion

• dementia

• poor memory

• mouth soreness

How much vitamin B12 do I need per day?

Everyone requires a certain amount of B12 depending on their age, starting with .5 mcg per day for infants up to 2.4 mcg for teens and adults and even more—2.6 mcg and 2.8 mcg, respectively, for women who are pregnant or breastfeeding.

Vitamin B12 foods

B12 is found in a wide array of animal-based foods, as it’s produced by a gut bacteria that is then accumulated in the muscle tissue of most herbivorous animals, including fish, cows, chickens, and some shellfish, throughout their lives; additionally, many livestock are supplemented with B12 through their feed. When it’s absorbed by the animal, it is in turn passed on to people who eat animal-based products such as dairy and meat.

Vitamin B12 does also accumulate in a few plant-based sources, including some mushrooms, seaweed, and nutritional yeast, but not enough to fortify vegans, who, in particular, should consider being tested for deficiency and then boosting intake with both B12-fortified foods, such as cereals and plant-based milks, and supplements.

Some other populations are also more likely to be deficient, according to Cathi Dennehy, a doctor of pharmacy, dietary supplement researcher, and professor at the University of California San Francisco, who previously spoke with Fortune about the vitamin. That includes folks with an autoimmune disorder called pernicious anemia, who are unable to absorb B12, and people who take a lot of over-the-counter stomach-acid reducers, like famotidine, because they don’t have the stomach acid to release the B12 from the animal protein.

B12 supplements for energy

Taking vitamin supplements is a simple way to boost your B12 intake. But be selective when making your purchase.

“Be wary of supplements that are far cheaper than the rest or look like a good deal,” Jolene Brighten, naturopathic endocrinologist and author of Is This Normal?, told Fortune previously. “Often these are using poor quality ingredients and in some cases, because they are not regulated, they won’t actually have what the label lists.”

To help avoid such risks, suggests Dennehy, start by speaking with your health care provider or a registered dietitian who is well-versed in supplements. Then, when you’re ready to buy, be sure to do some research, especially on the brand.

Consumers may want to consult the NIH Office of Dietary Supplements as well as subscription-based sources, such as Consumer Lab, which charges a fee for access to its test results, which looks into issues ranging from possible contaminants to making sure a supplement contains what it claims to, Dennehy previously told Fortune, noting, “A question that I get asked fairly frequently is, ‘Is this brand that I’m taking a good brand?’”

Vitamin B12 can be found in multivitamins, B-complex supplements, and by itself in a B12 supplement, which are available in many natural and synthetic forms including cyanocobalamin and adenosylcobalamin—some in a sublingual pill that dissolves under the tongue. But research has not shown that any form of supplemental vitamin B12 is better than others, according to the NIH Office of Dietary Supplements. Further, notes the NIH, some come in doses much higher than recommended amounts, such as 500 mcg or 1,000 mcg, but because your body absorbs only a small percentage, those doses are considered safe.

Other ways to get extra B12

A prescription form of vitamin B12 can be given as an injection, notes the NIH—typically for people with deficiencies who also have problems absorbing vitamin B12 as well as those who have undergone gastric surgery, as shots enable the body to absorb vitamin B12 without going through the digestive system, according to Medical News Today.

Vitamin B12 is also available by prescription as a nasal gel that’s sprayed into the nose—as well as through IV infusions, although there are mixed opinions on the efficacy and safety of this delivery method.

But finally, stressed Dennehy, however you opt to supplement yourself, “the only reason it would improve energy would be if you’re correcting a deficiency.”

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