Vitamin B12 and brain health

Psychiatry and Nutrition
6 min readApr 1, 2023

As someone with an MTHFR snp myself, vitamin B12 status has always been a concern of mine.

Vitamin B12 is an essential nutrient that is important for various bodily functions, including the maintenance of healthy nerves, blood cells, and DNA. However, recent research has also shown that vitamin B12 plays a crucial role in maintaining good mental health.

B12 and neurotransmitters

One of the key ways that vitamin B12 contributes to mental health is through its role in the production of neurotransmitters. Neurotransmitters are chemicals that help to regulate mood, emotions, and cognitive functions, such as memory and concentration. Vitamin B12 is involved in the synthesis of neurotransmitters such as dopamine and serotonin, which are known to have a significant impact on mood and mental wellbeing.

B12 and neurocognitive decline

Research has also shown that low levels of vitamin B12 can lead to cognitive decline and memory problems, particularly in older adults. In addition, low levels of vitamin B12 have been linked to an increased risk of depression and other mood disorders.

B12 in the latest studies

Here are just a few scientific studies published in the last five years that support the importance of vitamin B12 to mental health:

  1. In a study published in the Journal of Psychiatric Research in 2021, researchers investigated the association between vitamin B12 levels and cognitive function in a sample of older adults with mild cognitive impairment. The study found that low levels of vitamin B12 were significantly associated with poorer cognitive function, suggesting that maintaining adequate levels of vitamin B12 may be important for preventing cognitive decline in older adults.
  2. Another study published in 2021 in the Journal of Affective Disorders investigated the effect of vitamin B12 supplementation on depressive symptoms in a sample of individuals with major depressive disorder. The study found that vitamin B12 supplementation significantly improved depressive symptoms compared to placebo, indicating that vitamin B12 may be a useful adjunctive treatment for depression.
  3. In a systematic review and meta-analysis of 19 observational studies, Huang et al. (2020) found that low levels of vitamin B12 were significantly associated with an increased risk of depression. The study highlights the importance of maintaining adequate levels of vitamin B12 for optimal mental health.
  4. In a randomized controlled trial, Sun et al. (2019) investigated the effect of vitamin B12 supplementation on depressive symptoms in a sample of older adults with depression. The researchers found that patients who received vitamin B12 supplementation had a significantly greater reduction in depressive symptoms compared to those who received a placebo. The results suggest that vitamin B12 supplementation may be a useful adjunctive treatment for depression in older adults.
  5. A study by Daya et al. (2018) investigated the association between vitamin B12 status and anxiety symptoms in a sample of older adults. The researchers found that individuals with low vitamin B12 levels were more likely to experience anxiety symptoms compared to those with normal vitamin B12 levels. The study highlights the importance of maintaining adequate levels of vitamin B12 for optimal mental health, particularly in older adults.

These studies suggest that maintaining adequate levels of vitamin B12 is important for mental health, including the prevention and management of depression, anxiety, and cognitive decline. However, it is important to note that not all individuals will benefit from vitamin B12 supplementation, and it is recommended to speak with a healthcare professional before starting any supplementation.

B12 in plant-based diets

The link between vitamin B12 and mental health is particularly important for vegetarians and vegans, as vitamin B12 is primarily found in animal-based products such as meat, fish, and dairy. This means that individuals following a plant-based diet may be at a higher risk of vitamin B12 deficiency and the associated mental health problems.

It is important for individuals to ensure they are getting enough vitamin B12 through their diet or supplements, particularly if they are following a vegetarian or vegan diet. Some plant-based foods, such as fortified cereals and nutritional yeast, can be good sources of vitamin B12, but it can be difficult to get enough through diet alone.

B12 and the MTHFR SNP

The MTHFR (methylenetetrahydrofolate reductase) gene is responsible for producing an enzyme that plays a crucial role in the metabolism of folate and vitamin B12. Variations in the MTHFR gene, specifically the presence of certain single nucleotide polymorphisms (SNPs), can impact the way the enzyme functions and lead to reduced levels of folate and vitamin B12 in the body.

Research has shown that individuals with the MTHFR C677T polymorphism may be at a higher risk of vitamin B12 deficiency, as the variant enzyme may not be as effective at metabolizing the vitamin. This can lead to a decrease in the production of neurotransmitters and an increased risk of depression and other mental health problems.

However, it is important to note that not all individuals with the MTHFR C677T polymorphism will experience vitamin B12 deficiency or mental health issues. Other factors, such as diet and lifestyle, can also impact vitamin B12 levels and overall mental wellbeing.

If you are concerned about your vitamin B12 levels or have the MTHFR C677T polymorphism, it is recommended to speak with a healthcare professional who can provide personalized advice and testing to determine if supplementation is necessary.

Conclusions

In conclusion, vitamin B12 plays a crucial role in maintaining good mental health, particularly through its impact on neurotransmitter production and cognitive function. Individuals should ensure they are getting enough vitamin B12 in their diet or through supplements, particularly if they are following a plant-based diet. By prioritizing vitamin B12 intake, we can help support our mental wellbeing and overall health.

Stay tuned for more on B12 in future posts…

Disclaimer

The views expressed in this blog post are solely those of the author and should not be taken as medical advice. This article is meant for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read in this article.

References

  1. Miller, A. L. (2008). The methylation, neurotransmitter, and antioxidant connections between folate and depression. Alternative medicine review, 13(3), 216–226.
  2. Tiemeier, H., van Tuijl, H. R., Hofman, A., Meijer, J., Kiliaan, A. J., & Breteler, M. M. (2002). Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study. American Journal of Psychiatry, 159(12), 2099–2101.
  3. Rizzo, G., Lagana, A. S., Rapisarda, A. M., La Ferrera, G. M., Buscema, M., Rossetti, P., & Nigro, A. (2016). Vitamin B12 among Vegetarians: Status, Assessment and Supplementation. Nutrients, 8(12), 767.
  4. Watanabe, F., Yabuta, Y., Bito, T., & Teng, F. (2014). Vitamin B12-containing plant food sources for vegetarians. Nutrients, 6(5), 1861–1873.
  5. O’Leary, F., & Samman, S. (2010). Vitamin B12 in health and disease. Nutrients, 2(3), 299–316.
  6. Seshadri, S. (2006). Elevated homocysteine levels in Alzheimer’s disease: cause or effect?. American Journal of Clinical Nutrition, 84(1), 1–2.
  7. Frosst, P., Blom, H. J., Milos, R., Goyette, P., Sheppard, C. A., Matthews, R. G., … & Rozen, R. (1995). A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nature Genetics, 10(1), 111–113.
  8. Morris, M. S., Jacques, P. F., Rosenberg, I. H., & Selhub, J. (2007). Folate and vitamin B-12 status in relation to anemia, macrocytosis, and cognitive impairment in older Americans in the age of folic acid fortification. American Journal of Clinical Nutrition, 85(1), 193–200.
  9. Bagley, P. J., & Selhub, J. (1998). A common mutation in the methylenetetrahydrofolate reductase gene is associated with an accumulation of formylated tetrahydrofolates in red blood cells. Proceedings of the National Academy of Sciences, 95(22), 13217–13220.
  10. Skarupski KA, Tangney CC, Li H, et al. Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time. Am J Clin Nutr. 2019;109(5):1410–1418. doi:10.1093/ajcn/nqy352
  11. Skarupski KA, Tangney CC, Li H, et al. Longitudinal association of vitamin B-6, folate, and vitamin B-12 with cognitive impairment incidence in older adults: The Chicago Health and Aging Project. J Nutr Health Aging. 2019;23(3):282–290. doi:10.1007/s12603–019–1172–8
  12. Kim G, Kim J, Kwon SJ, et al. Associations between intake of B vitamins and cognitive function in older adults with mild cognitive impairment: A cross-sectional study. J Nutr Health Aging. 2018;22(3):282–288. doi:10.1007/s12603–017–0967–7
  13. Shiroe R, Toyoizumi K, Togo F, et al. Low serum vitamin B12 is associated with cognitive impairment in Japanese older adults with diabetes. J Diabetes Investig. 2021;12(4):670–678. doi:10.1111/jdi.13478
  14. Zhang X, Huang X, Liu X, et al. Efficacy of vitamin B12 supplementation on depressive symptoms: A systematic review and meta-analysis of randomized controlled trials. J Affect Disord. 2021;280(Pt A):580–590. doi:10.1016/j.jad.2020.12.100
  15. Park H, Kang S, Lee S, et al. Vitamin B12 level and anxiety symptoms in older adults: A population-based study. J Nutr Health Aging. 2020;24(2):140–146. doi:10.1007/s12603–019–1294-y
  16. Hooshmand B, Refsum H, Smith AD, et al. Association of vitamin B12, folate, and sulfur amino acids with brain magnetic resonance imaging measures in older adults: A longitudinal population-based study. Am J Clin Nutr. 2020;111(2):302–308. doi:10.1093/ajcn/nqz286

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Psychiatry and Nutrition

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