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College of Naturopathic Medicine - How do I get B12 as a VEGAN? Deficiency signs and symptoms explained

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Short Summary

Main recommendation: the speaker says vegans need to be deliberate about vitamin B12, because plant foods provide little reliable B12, and deficiency can potentially cause lasting neurological damage. The video suggests nutritional yeast, sea vegetables such as nori, shiitake and lion's mane mushrooms, and chlorella as plant-based sources, and it explains the anemia, neurological, and mood symptoms of deficiency.

Key Points

  • B12 is abundant in animal foods such as meat, liver, milk, cottage and feta cheese, organic eggs, and fish, but harder to obtain from a plant-based diet.
  • Plant-based eaters can meet B12 needs, but they must be mindful and plan intake rather than assume adequacy.
  • Deficiency can cause anemia with large immature red blood cells, plus fatigue, breathlessness, and pale skin.
  • The speaker says neurological effects such as tingling, numbness, and loss of balance can be hard to reverse if the deficiency lasts long enough.
  • The speaker says deficiency can also affect neurotransmitter production, with depression and paranoia cited as key signs.
  • Pernicious anemia, an autoimmune condition that blocks B12 absorption from food, is one cause; the speaker recounts, as a personal anecdote, a client whose severe depression and paranoia improved after being referred to her GP for B12 injections.

Details Worth Noting

  • Concrete instructions:
    • Nutritional yeast, sea vegetables (especially nori), shiitake and lion's mane mushrooms, and chlorella are the plant sources named.
    • To get a good amount of B12 from chlorella, use around 9 grams a day of chlorella powder, added to smoothies or juices. It has a strong taste, so adapt gradually.
    • Recipe, quinoa and bean medley: measure quinoa into a bowl, cover with cold water, and stand 20 minutes. Drain and rinse under cold running water. Place in a saucepan with just enough boiling water to cover, lid on, and simmer 15 minutes, stirring occasionally. Fluff with a fork.
    • Top with mixed salad leaves, pumpkin seeds, and mixed beans. Mix tahini and oil until smooth, add the remaining ingredients, and pour over the salad.
    • The quinoa and bean dish has no B12 on its own, so add sliced shiitake mushrooms or sprinkle sea vegetables on top.
  • Quinoa is noted as a complete plant protein containing all essential amino acids, and the salad also supplies B vitamins from leaves, pumpkin seeds, and beans.
  • Chlorella is described as a microalgae with superfood status and vitamin B12 content.
  • Speaker's caution: do not underestimate the effects of vitamin or mineral deficiencies; severe cases may need medical treatment such as injections, which the speaker advised seeking through a GP.

Bottom Line

Vegans should plan a reliable B12 source, since deficiency symptoms can progress to irreversible neurological harm, and the speaker's advice centers on recognizing those signs early and getting medical help when they appear.