Nexium and vitamin b12
Common Questions and Answers about Nexium and vitamin b12
nexium
Suggest a vitamin B12 and MMA test from you doctor. Stomach surgery including a vagotomy decreases acid secretion and the intrinsic factor which aids in absorption of vitamins.If your doctor knows your medical history and has not recommended or done a vitamin B12/MMA test, maybe you should think about finding another doctor. You have classic deficiency symptoms.
My doctor diagnosed me almost a year ago with "the worst case of acid reflux [she'd] ever seen." Literally, I would drink a glass of water and get reflux issues. I was put on Nexium for a long time, and I have since switched to Prilosec OTC because I ran out of health insurance. It's been about five days on Prilosec but I keep feeling nauseous in the morning after I take it, but it's nothing too bad and it goes away fairly quickly.
calcium, vitamin B12, iron, magnesium, selenium, zinc, folic acid, vitamin A, vitamin B1, vitamin B2, vitamin B6 and vitamin E.
Nexium is a short term drug only. A maximum of 8 weeks however the FDA made a statement to take PPI's (eg: nexium, prilosec) for up to 14 days, 3 times a year back in March 2010. Besides correcting your hiatus hernia, digestive enzyme supplements are excellent to prevent acid reflux. You can buy these enzymes from health food stores.
On Nexium I could eat anything and not get heartburn. Yes, the Nexium depleted my B12 and I had B12 shots for three months and get routine blood work to check my levels. I do take iron and B12 supplements daily.
I also have had upper and lower GI's and the gastric emptying scan which came back negative.
With folic acid deficiency, it is possible for iron and Vit B12 deficiency to co-exist. Hence if B12 is normal, test for iron. Also once you start Vti D and folic acid supplements it will be sometime before you really feel normal again. You can take Vit B12 supplements or a multivitamin B12 supplement and see.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
For this reason, Japan has risen the lowest level of B12 to 550pg/mL. Nexium causes vitamin B12 deficiency (and plenty of other deficiency states) as it lowers stomach acid essential to release instrinsic factor needed to bind to vitamin B12 for absorption in the gut.
A more accurate test for vitamin B12 deficiency is a urinary methylmalonic acid test. (UMMA). Methylmalonic acid rises just 10 days after a vitamin B12 deficiency starts.
take synthroid on an empty stomach, half an hour to one hour before breakfast; vitamin B12, vitamin D and prenatal vitamins for lunch (vitamin A, D, E and K are fat soluble vitamins so eat a meal containing fat for better absorption); metformin with the evening meal.
You can switch this around but avoid taking vitamins with synthroid (calcium and iron can interfer with thyroxine absorption) and metformin (can inhibit the absorption of vitamin B12).
Nexium also affects vitamin B12 levels because the body can’t absorb the vitamin without stomach acid to uncouple the vitamin from protein in food. It also affects the absorption of calcium, which in turn can lead to osteoporosis and fractures. Discuss your concerns with your doctor before stopping any medication. I hope it helps.
Best luck and regards!
In a healthy normal person they get B12 from their diet and then this special area of your intestines make something called "intrinsic factor" that makes the B12 work.
You might be lacking that intrinsic factor (or have probs with that part of your intestine where it is made). Unfortunately the only way that you can get the activated form of B12 is from shots, so it sounds like you will need to make sure that you get them regularly now.
* Lack of sunlight
* Everyone who lives more than 35 degrees latitude north or south of the equator is at risk of vitamin D deficiency in the winter months
* Dark or black skin needs up to 10 times the amount of sun than light skin to absorb vitamin D in their skin
* Wearing sunscreen - prevents absorption of UVB rays that create vitamin D
* Lack of vitamin D co-factors - magnesium (most important co factor), zinc, vitamin K2, boron, and a tiny amount of vitamin A
* Magnesium and calc
t get false high results. I also suggest that you test for Vitamin D, B12, ferritin, and morning serum cortisol.
The ratio of Free T3 to Reverse T3 is important. High Reverse T3 can negate the effect of your Free T3 level. D should be about 50, B12 in the upper end of its range, and ferritin should be about 70. I am especially curious about your ferritin and cortisol levels because improper levels of is reported to cause pooling of T3 in the blood instead of getting into cells.
The top 3 most commonly mentioned are vitamin D, iron and vitamin B12. Others include folate, magnesium, calcium, potassium, sodium, cortisol (stress hormone). Vitamin A is also noted as metabolism slows down conversion of beta carotene to vitamin A (skin can look more yellowish on the palms and feet).
One deficiency that affects the nerves is vitamin B12 deficiency. I too had bad numbness when sleeping and it took for ages to shake feeling back into my arms or legs.
I think the confusion about all of the PPIs, including nexium, is that most docs prescribe PPIs without a lot of testing and without that testing it's possible that if someone feels better taking the nexium and stays on it longterm without any testing being done, it could end up masking a more serious problem - like stomach cancer.
Low/deficient vitamin B12 is usually due to conditions that cause malabsorption unless you are a vegan/vegetarian. Vitamin B12 sources include fish and shellfish, meat (especially liver), poultry, eggs, milk, and milk products.
Excerpt from "Skin rashes from vitamin B12" by Ed Donner:
"Side effects of B12 supplements are rare, according to Southern Care Healthcare Group, and generally occur with the injections and not with oral supplements.
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