Dr. Anitha Adluri, MBBS, DNB Internal Medicine, FDM
Vitamin B12 deficiency is one of the most common nutritional problems seen worldwide. This condition can affect energy levels, nerve health, and overall well-being. This article helps you understand anaemia in individuals who often experience reduced stomach acid, which can affect ulcers, and the importance of Vitamin B12, its deficiency symptoms, causes, and treatment options for better health.
What is Vitamin B12?

Vitamin B12, also known as cobalamin, is an essential vitamin that supports:
- Red blood cell formation
- Nerve health and brain function
- DNA synthesis
- Energy metabolism
Since our body cannot produce Vitamin B12 naturally, it must be obtained from diet or supplements.
Causes of Vitamin B12 Deficiency
There are several reasons why someone may develop a deficiency, including:
- Dietary Deficiency – Common in vegetarians and vegans due to a lack of animal-based foods.
- Digestive Disorders – Conditions like Crohn’s disease, celiac disease, or pernicious anaemia reduce absorption.
- Medications – Long-term use of antacids, proton pump inhibitors, or metformin may interfere with absorption.
- Age-related Factors – Elderly individuals often experience reduced stomach acid, which can affect Vitamin B12 absorption.
Symptoms of Vitamin B12 Deficiency
Early detection is essential. Look out for these common Vitamin B12 deficiency symptoms:

- Constant tiredness and weakness
- Numbness or tingling in hands and feet
- Memory issues and mood changes
- Pale or yellowish skin
- Difficulty walking or poor balance
- Sore tongue or mouth ulcers affect anaemia in individuals.
If ignored, the condition can lead to permanent nerve damage.
How is Vitamin B12 Deficiency Diagnosed?
Your doctor may recommend a blood test to check Vitamin B12 levels. Additional tests, such as those for methylmalonic acid or homocysteine, may be used for confirmation.
Treatment for Vitamin B12 Deficiency
Dr. Anitha’s treatment approach depends on the severity of the deficiency:
- Dietary Modifications – Include eggs, milk, fish, chicken, and fortified cereals, such as those for methylmalonic acid or homocysteine.
- Supplements – Vitamin B12 tablets or capsules for mild cases.
- Injections – For severe deficiency or absorption-related issues.
- Regular Monitoring – Follow-up tests to ensure healthy levels.
How to Prevent Vitamin B12 Deficiency?
- Eat a balanced diet rich in Vitamin B12 sources.
- Vegetarians and vegans should take fortified foods or supplements.
- Go for regular health check-ups, especially if you are above 50 years old.
Expert Advice by Dr. Anitha
Vitamin B12 deficiency is common but completely treatable. If you are experiencing symptoms like persistent fatigue, memory issues, or numbness, consult a doctor immediately. With the right diet and treatment, you can restore energy, improve mental health, and protect your nerves.
Frequently Asked Questions (FAQs)
1. What are the first signs of Vitamin B12 deficiency?
The earliest signs include fatigue, weakness, tingling in the hands and feet, and pale skin. Some people may also experience mood changes or memory issues.
2. Who is most at risk of Vitamin B12 deficiency?
Vegetarians, vegans, elderly individuals, and people with digestive problems like Crohn’s disease or celiac disease are at higher risk.
3. How is Vitamin B12 deficiency treated?
Treatment depends on severity. Mild cases may need dietary changes and supplements, while severe cases may require Vitamin B12 injections.
4. Can Vitamin B12 deficiency cause permanent damage?
Yes. If left untreated, it can cause irreversible nerve damage, balance issues, and memory problems. Early diagnosis is key.
5. What foods are rich in Vitamin B12?
Eggs, dairy products, fish, chicken, and fortified cereals are excellent sources of Vitamin B12. Vegans should consider supplements.
6. How long does it take to recover from a Vitamin B12 deficiency?
Recovery depends on the severity and treatment method. Many patients notice improvements within a few weeks; however, nerve-related symptoms may take longer to resolve.
Meet Our Doctors – Ayra Health Care, Hyderabad
At Ayra Health Care, Manikonda, Hyderabad, we are dedicated to delivering compassionate, high-quality medical care to individuals and families. Our team of doctors brings years of expertise, advanced training, and a patient-first approach to ensure the best possible outcomes.
Dr. Anitha Adluri – MD, General Physician & Diabetologist
Dr. Anitha Adluri is one of the best general physicians in Hyderabad, with over 22 years of experience in Internal Medicine and Diabetology. She is highly regarded as a family-friendly physician and is recognised among the top physicians in Hyderabad. Her areas of expertise include fevers, infections, urinary tract infections, diabetes, thyroid disorders, hypertension, cholesterol problems, obesity, HIV, typhoid, dengue, pneumonia, asthma, allergies, vitamin deficiencies, immune system disorders, rheumatology conditions, and women’s health issues such as PCOD. Known as a top-rated doctor in Hyderabad, she focuses on accurate diagnosis, preventive care, and holistic treatment, ensuring long-term wellness for her patients. Fluent in English, Telugu, and Hindi, she is approachable and caring, making her a trusted physician for families across the city.
Why Choose Ayra Health Care?
- Experienced and top-rated doctors in Hyderabad
- Family-friendly environment with personalised attention
- Comprehensive care in General Medicine, Diabetes, and Orthopaedics
- Focus on prevention, early diagnosis, and holistic management
- Patient education and guidance for long-term wellness
At Ayra Health Care, our mission is to provide advanced medical care with compassion, trust, and excellence. Whether you are seeking a general physician in Hyderabad for overall health, diabetes, or infections, or a top orthopedic doctor in Hyderabad for bone and joint problems, our doctors are here to support you at every step.
