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The critical role of vitamin B12

Ilia Volkov1

  • 1Department of Family Medicine, Ben-Gurion University of the Negev, Beer-Sheva, 84105, IL. r0019@zahav.net.il.

Insights

Vitamin B12 supplementation may not reduce cardiovascular events in patients with existing vascular disease. However, it shows potential in primary prevention and inhibiting malignant cell proliferation, suggesting a need for routine fortification.

Area of Science:

  • Nutritional Science
  • Oncology
  • Cardiovascular Health

Background:

  • Vitamin B12 plays a crucial role in neurological and hematological functions.
  • The association between vitamin B12, homocysteine, and cardiovascular events remains debated.
  • Low vitamin B12 levels are increasingly prevalent in the general population.

Purpose of the Study:

  • To evaluate the efficacy of vitamin B12 in cardiovascular disease prevention and management.
  • To explore the role of methylcobalamin in inhibiting malignant cell proliferation.
  • To advocate for vitamin B12 routine fortification to prevent health issues.

Main Methods:

  • Review of existing studies on vitamin B12 supplementation and cardiovascular events.
  • Analysis of in vivo and in vitro studies on methylcobalamin's effect on cancer cells.
  • Assessment of the prevalence of vitamin B12 deficiency.

Main Results:

  • Vitamin B12 supplementation did not reduce cardiovascular events or mortality in patients with vascular disease.
  • Methylcobalamin demonstrated inhibition of malignant cell proliferation.
  • Increasing prevalence of low vitamin B12 levels noted across populations.

Conclusions:

  • Vitamin B12 may be more effective for primary cardiovascular prevention than secondary prevention in patients with irreversible vascular changes.
  • High-dose vitamin B12 might be more effective than low doses of B-complex vitamins.
  • Methylcobalamin shows promise as a potential therapeutic agent for certain cancers.
  • Routine vitamin B12 fortification is recommended to address widespread deficiency and prevent serious health problems.
Abstract

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