March 9, 2025

Study Links Both Low and High B12 Levels to Cognitive Decline in Older Adults

Study Links Both Low and High Vitamin B12 Levels to Cognitive Decline in Older Adults

A recent study has found that **both lower and higher levels of vitamin B12 may be linked to cognitive issues in older adults**, even when these levels fall within the normal range. The findings, published in *Annals of Neurology*, suggest that **B12 levels may influence brain function and neurodegeneration**, prompting a reevaluation of current clinical standards.

Vitamin B12: Essential for Brain and Nerve Health**

Vitamin B12, or cobalamin, plays a crucial role in **nerve tissue development, brain function, and red blood cell production**. It is naturally found in **animal-based foods such as meat, fish, eggs, and dairy** and can also be obtained from fortified cereals, nutritional yeast, and supplements. While B12 deficiency is rare, **low or marginal levels are common**, affecting nearly **40% of Western populations**.

The **National Institutes of Health (NIH)** recommends a daily intake of **2.4 micrograms of B12 for individuals over 14 years old**. Despite this, the latest study highlights that even within normal B12 ranges, **variations in levels could impact cognitive health**.

B12 Levels and Cognitive Decline

The study analyzed **healthy older adults** and found:
– **Lower B12 levels were linked to slower processing speed**, potentially due to impaired nerve insulation.
– **Higher B12 levels were associated with increased biomarkers of neurodegeneration**, raising concerns about excess intake.

Dr. Clifford Segil, a neurologist at **Providence Saint John’s Health Center in Santa Monica, CA**, who was not involved in the study, noted that the findings challenge existing medical practices. **“This study suggests rethinking what should be considered a low B12 level in clinical settings. I often treat patients with ‘normal’ B12 levels who still experience memory loss,”** he said.

With dementia and cognitive decline affecting millions globally, experts emphasize the importance of **monitoring B12 levels carefully**. The study calls for further research into the **optimal B12 range for cognitive health** and whether current guidelines need adjustments.

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