B12 deficiency in India

B12 deficiency is extremely common in India as is Vitamin D, folic acid, or iron deficiency, all because malnutrition is extremely common, even among the rich. The reasons for these are too many and are related to diet, lifestyle, and social and cultural issues. Any one of its varied manifestations...

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Main Author: P K Sasidharan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Archives of Medicine and Health Sciences
Subjects:
Online Access:http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2017;volume=5;issue=2;spage=261;epage=268;aulast=Sasidharan
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author P K Sasidharan
author_facet P K Sasidharan
author_sort P K Sasidharan
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description B12 deficiency is extremely common in India as is Vitamin D, folic acid, or iron deficiency, all because malnutrition is extremely common, even among the rich. The reasons for these are too many and are related to diet, lifestyle, and social and cultural issues. Any one of its varied manifestations can occur in isolation and can be coexisting with other comorbidities. In addition, the symptoms are modified also by the underlying disorder causing its deficiency. In spite of being a common disorder, its recognition is delayed or missed because the manifestations are diverse in nature, affecting all the organs and systems, and is often subclinical. To add to the confusion, laboratory estimations are notoriously unreliable even from the best of centers and doctors tend to rely on laboratory estimate of B12 levels. In this scenario, the doctors in India have to sharpen clinical skill to make a clinical judgment and initiate therapy and advocate a diet plan to give benefit to the patient. The ways and means of picking up those with clinical or subclinical B12 deficiency and the reasons and solutions to the problem are discussed in this article.
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spelling doaj.art-9f1937bfba8e44fdb4589a3c20c63fbc2022-12-22T02:07:50ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482017-01-015226126810.4103/amhs.amhs_121_17B12 deficiency in IndiaP K SasidharanB12 deficiency is extremely common in India as is Vitamin D, folic acid, or iron deficiency, all because malnutrition is extremely common, even among the rich. The reasons for these are too many and are related to diet, lifestyle, and social and cultural issues. Any one of its varied manifestations can occur in isolation and can be coexisting with other comorbidities. In addition, the symptoms are modified also by the underlying disorder causing its deficiency. In spite of being a common disorder, its recognition is delayed or missed because the manifestations are diverse in nature, affecting all the organs and systems, and is often subclinical. To add to the confusion, laboratory estimations are notoriously unreliable even from the best of centers and doctors tend to rely on laboratory estimate of B12 levels. In this scenario, the doctors in India have to sharpen clinical skill to make a clinical judgment and initiate therapy and advocate a diet plan to give benefit to the patient. The ways and means of picking up those with clinical or subclinical B12 deficiency and the reasons and solutions to the problem are discussed in this article.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2017;volume=5;issue=2;spage=261;epage=268;aulast=SasidharanB12 deficiencycobalaminehealthy Indiamalnutrition
spellingShingle P K Sasidharan
B12 deficiency in India
Archives of Medicine and Health Sciences
B12 deficiency
cobalamine
healthy India
malnutrition
title B12 deficiency in India
title_full B12 deficiency in India
title_fullStr B12 deficiency in India
title_full_unstemmed B12 deficiency in India
title_short B12 deficiency in India
title_sort b12 deficiency in india
topic B12 deficiency
cobalamine
healthy India
malnutrition
url http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2017;volume=5;issue=2;spage=261;epage=268;aulast=Sasidharan
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