Clinical Insight Into Vitamin B12
CLINICAL INSIGHT INTO VITAMIN B12
Vitamin B12 (B12) is essential in making many essential functions, including DNA synthesis, maintenance and repair of neural axons, synthesis of all new blood cells, and energy production. A deficiency and insufficiency of B12 is widespread. Several population subgroups are at especially high risk of inadequate status, including the elderly, vegetarians, patients who have diabetes and use metformin, pregnant women, people with some GI health problems, such as Crohn’s or Celiac disease, those who have undergone stomach or bowel resection, some people who have had a surgery with anesthesia, AIDS patients and others. Findings from recent research have shown that both dietary recommendations and cutoffs for what constitute adequate B12 status have been deflated, placing individuals at risk of inadequate intake and status. Inadequate B12 status has been associated with a number of adverse health conditions, including CVD, bone fractures, brain atrophy, dementia, depression to name just a few. In this presentation, I will review data regarding what constitutes adequate vitamin B12 intake, how to assess vitamin B12 status and interpret laboratory findings, overview how B12 interacts with other nutrients and how such interactions may lead to incorrect interpretations of lab findings. I will also review of the associations between vitamin B12 status and risk of selected chronic health conditions and outline B12 deficiency prevention strategies and treatment options.
Upon successful completion of this course, the participant should be able to:
  • Give a brief overview of vitamin B12 (forms, function, DRI, who is at risk of deficiency).


  • Understand what constitutes adequate B12 intake and status, including interpret laboratory findings.


  • Discuss health implications of inadequate B12 status, including hyperhomocysteinemia, CVD, bone fractures, brain atrophy, and diabetes.


  • Summarize available B12 deficiency treatment options.
Live Webinar Date: Feb 04, 2020   (03:00 PM - 05:00 PM EST)
Course Categories / Learning Need Codes (LNC): 2090, 3060, 4040, 5280
Performance Indicators/Learning Objectives: 10.2.4, 10.4.4
Target Audience: RDs, DTRs, Health Professionals
Number of Credits: 2.0
Level(s): 1, 2
Total Cost: $36

About the Presenter: Roman Pawlak, Ph.D, RD
Roman Pawlak

Associate Professor of Nutrition at East Carolina University. Authored: 'Vitamin B12. Combating the epidemic of deficiency' (published in English and Polish), 'Vegan/vegetarian mother and her baby' (published in English, Polish and Czech), 'I am the LORD who heals you' (published in English, Russian and Japanese), 'Forever young. Secrets of delaying aging and living disease free' (published in English and Polish), 'Healthy diet without secrets' (published in English and Polish), 'In defense of vegetarianism' (published in English and Polish), 'Diabetes. How to prevent it? How to cure it? How to prevent diabetes complications' (published in Polish), 'Diet – facts and myths' (published in Polish). Published in the best American and international nutrition journals, including, American Journal of Clinical Nutrition, European Journal of Clinical Nutrition, European Journal of Nutrition, Nutrition Reviews, American Journal of Preventive Medicine. Lectured in five continents, including North America, South America, Europe, Asia, and Africa.



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