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Vitamin B12 in pediatrics - Leila Masson

When you are concerned about a growing organism, vitamin B12 must be supplemented, especially if the person is vegan. Let's see in this video, with the pediatrician Dr. Leila Masson, the importance and the way of intake in the various growth stages.
"When I recommend vitamin B12, it really depends on the age of the child, their specific problem, whether they are vegan or not and what kind of needs they have. In pregnancy, for example, I would recommend a 1000 mcg of vitamin B12 for the mother, once a day if she is vegan. In children, if they are vegan, the dose is lower, it depends on the age. I know, in Germany the recommendation is 25 mcg, it's tiny. I probably would be a little bit more generous and give a few hundred micrograms and when they become teenagers go to 1000.
Vitamin B12 is water-soluble so if you take more than you need, you pee it out, so it doesn't stay in your body. I think one important thing is that B12 is just one B vitamin in a complex. It is the one that we don't get from a plant based diet but it still works in a complex. All the B vitamins work together and even all the minerals work together and other vitamins. It's not such a good idea to get huge doses of one nutrient, it's much better to give a combination. I do like multivitamin multi-minerals, a good one that gives a little bit of everything as a safety blanket. So you know that they are getting some of everything and hopefully all the rest from their diet. 
There are some studies that indicate that it may not be great to get huge doses in isolation. But I think, if you give a few hundred micrograms to your child, you are not going to do any harm. If the child is vegan, definitely you need to give them B12 every single day. It is water-soluble so I'm not so worried about overdose. I would be worried about the fat-soluble vitamins like you can overdose in vitamin A, for example, vitamin D because they are stored in the body. But the water-soluble vitamins like B12 is not such a big worry.
As an adult, you can store some vitamin B12 in the liver. Some adults actually get an injection of vitamin B12 into their muscle and then it slowly released over time. But in children I recommend that they take a B12 supplement every single day and also for pregnant women and breast feeding women. It's very important that it's a daily dose, so you can not rely on "Oh, I still have some stores in my liver" because you just don't know, unless you do blood tests every single day. But even a blood tests are not perfect. When you are concerned about a growing organism, you need to give the B12 every single day if the person is vegan".
This video was realised during the International Congress VegMed 2018 in Berlin.
This is a video of the web-tv Veggie Channel.
Director: Massimo Leopardi
Editor: Julia Ovchinnikova

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VegMed 2018

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