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維生素B12如何助你精力充沛

BETH GREENFIELD
2024-10-09

缺乏維生素B12會導致哪些癥狀?

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圖片來源:Getty Images

感覺精力不足?美國約有3.6%的人口體內缺乏維生素B12,有12.5%的人口攝入的維生素B12不足,你可能是其中之一。

紐約市醫療機構Health Meets Wellness的內科醫生和醫學主任伊麗莎白·夏普之前曾告訴《財富》雜志,要確認自己是否缺乏維生素B12,第一步是看醫生。

她說道:“如果有人精力不濟,我的第一反應是建議對方進行一系列檢查,然后再考慮服用膳食補充劑。”她表示,維生素(包括維生素B12)缺乏癥檢查,對于絕對素食主義者和素食主義者“至關重要”。

維生素B12有哪些作用?

根據美國國立健康研究院膳食補充劑辦公室(National Institutes of Health Office of Dietary Supplements)的數據,維生素B12是一種營養物質(或根據《發現》雜志的說法,是一系列名為鈷胺素的分子,其結構中包含鈷離子),可維持血液與神經細胞健康,并幫助生成人體細胞中的遺傳物質DNA。維生素B12還能幫助預防巨幼細胞性貧血,這種血液狀況可能是讓一些人感到疲倦虛弱的罪魁禍首。

缺乏維生素B12的癥狀

除了虛弱和疲倦以外,B12缺乏癥還可能引發一系列其他癥狀,嚴重程度可能有所不同。這些癥狀包括:

? 皮膚蒼白

? 心悸

? 食欲不振

? 體重下降

? 不孕

? 因神經問題導致的手腳刺疼

? 平衡問題

? 抑郁癥

? 意識模糊

? 癡呆

? 記憶力衰退

? 口腔潰瘍

每天需要攝入多少維生素B12?

每個人在不同年齡,維生素B12的攝入量不同,嬰兒每天需要攝入0.5微克,青少年和成年人每天需要攝入2.4微克甚至更多,而孕期和哺乳期的婦女分別需要攝入2.6微克和2.8微克。

含維生素B12的食物

許多動物性食物中都含有維生素B12,因為維生素B12由腸道細菌生成,并在大多數食草動物的肌肉組織中堆積,包括魚類、牛、雞和一些貝類;此外,許多家畜通過飼料補充維生素B12。維生素B12被動物吸收后,會通過動物性食物(如乳制品和肉類)傳遞到這些食品的食用者體內。

維生素B12還存在于一些植物性食物當中,包括一些蘑菇、海草和營養酵母等,但這不足以滿足絕對素食主義者的需求,他們特別應該考慮接受維生素B12缺乏癥檢查,并提高攝入量,例如通過食用谷物和植物性牛奶等可補充維生素B12的食物,以及服用膳食補充劑。

藥劑學博士、膳食補充劑研究員和加州大學舊金山分校(University of California San Francisco)的教授凱西·登內希表示,還有一些人群更容易出現維生素B12缺乏癥。登內希此前曾接受《財富》雜志采訪,談論與維生素有關的話題。這些人群中包括自身免疫性疾病惡性貧血的患者,他們無法吸收維生素B12,以及大量服用非處方類胃酸抑制劑(如法莫替丁片)的人群,因為他們缺少從動物蛋白中釋放維生素B12所需要的胃酸。

維生素B12膳食補充劑提高精力

服用維生素補充劑是提高維生素B12攝入量的簡單方法。但要有選擇性地購買補充劑。

自然療法內分泌學家、《這正常嗎?》(Is This Normal? )一書的作者喬琳納·布賴滕此前曾對《財富》雜志表示:“要小心那些價格明顯低于其他同類產品或看起來特別劃算的補充劑。它們通常使用質量較差的成分,而且在某些情況下,由于它們不受監管,因此它們實際上并沒有標簽上所標記的成分。”

為了幫助避免這些風險,登內希建議,首先要去咨詢醫療護理提供者或者注冊營養師,他們非常熟悉各種膳食補充劑。在準備購買補充劑時,一定要進行一些調查研究,尤其是品牌調研。

消費者可以咨詢國立健康研究院膳食補充劑辦公室和需要付費訂閱的來源。如消費者實驗室(Consumer Lab)的檢驗結果可以付費查看,該機構分析從可能的污染到保證膳食補充劑中含有其聲稱的成分等各種問題。登內希之前曾告訴《財富》雜志稱:“人們經常問我的一個問題是:‘我服用的這個品牌是不是好品牌?’”

維生素B12可能存在于多種維生素、B族維生素膳食補充劑和維生素B12補充劑中,它可能有許多天然的和人工合成的形式,包括氰鈷胺和腺苷鈷胺素等,有些補充劑是可在舌頭下溶化的舌下片。但國立健康研究院膳食補充劑辦公室稱,目前沒有研究證明任何形式的維生素B12膳食補充劑比其他同類產品更有效果。此外,國立健康研究院指出,有些補充劑的劑量遠遠高出推薦劑量,例如500微克或1,000微克,但由于人體只能吸收一小部分,因此這些劑量被認為是安全的。

補充維生素B12的其他途徑

國立健康研究院指出,處方藥形式的維生素B12可以注射。據《今日醫學新聞》(Medical News Today)報道,這種情況通常適用于有維生素B12缺乏癥,同時存在吸收問題和接受過胃部手術的患者,因為注射使人體無需經過消化系統,就能吸收維生素B12。

維生素B12還可以通過處方藥的形式以鼻凝膠噴入鼻腔,或者通過靜脈注射補充,但對于靜脈注射這種給藥方式的療效和安全性,人們存在不同的看法。

但登內希強調,無論你選擇以哪種方式補充維生素B12,歸根結底,“維生素B12能夠提高精力的唯一原因是,你正在改善缺乏癥。”(財富中文網)

譯者:劉進龍

審校:汪皓

感覺精力不足?美國約有3.6%的人口體內缺乏維生素B12,有12.5%的人口攝入的維生素B12不足,你可能是其中之一。

紐約市醫療機構Health Meets Wellness的內科醫生和醫學主任伊麗莎白·夏普之前曾告訴《財富》雜志,要確認自己是否缺乏維生素B12,第一步是看醫生。

她說道:“如果有人精力不濟,我的第一反應是建議對方進行一系列檢查,然后再考慮服用膳食補充劑。”她表示,維生素(包括維生素B12)缺乏癥檢查,對于絕對素食主義者和素食主義者“至關重要”。

維生素B12有哪些作用?

根據美國國立健康研究院膳食補充劑辦公室(National Institutes of Health Office of Dietary Supplements)的數據,維生素B12是一種營養物質(或根據《發現》雜志的說法,是一系列名為鈷胺素的分子,其結構中包含鈷離子),可維持血液與神經細胞健康,并幫助生成人體細胞中的遺傳物質DNA。維生素B12還能幫助預防巨幼細胞性貧血,這種血液狀況可能是讓一些人感到疲倦虛弱的罪魁禍首。

缺乏維生素B12的癥狀

除了虛弱和疲倦以外,B12缺乏癥還可能引發一系列其他癥狀,嚴重程度可能有所不同。這些癥狀包括:

? 皮膚蒼白

? 心悸

? 食欲不振

? 體重下降

? 不孕

? 因神經問題導致的手腳刺疼

? 平衡問題

? 抑郁癥

? 意識模糊

? 癡呆

? 記憶力衰退

? 口腔潰瘍

每天需要攝入多少維生素B12?

每個人在不同年齡,維生素B12的攝入量不同,嬰兒每天需要攝入0.5微克,青少年和成年人每天需要攝入2.4微克甚至更多,而孕期和哺乳期的婦女分別需要攝入2.6微克和2.8微克。

含維生素B12的食物

許多動物性食物中都含有維生素B12,因為維生素B12由腸道細菌生成,并在大多數食草動物的肌肉組織中堆積,包括魚類、牛、雞和一些貝類;此外,許多家畜通過飼料補充維生素B12。維生素B12被動物吸收后,會通過動物性食物(如乳制品和肉類)傳遞到這些食品的食用者體內。

維生素B12還存在于一些植物性食物當中,包括一些蘑菇、海草和營養酵母等,但這不足以滿足絕對素食主義者的需求,他們特別應該考慮接受維生素B12缺乏癥檢查,并提高攝入量,例如通過食用谷物和植物性牛奶等可補充維生素B12的食物,以及服用膳食補充劑。

藥劑學博士、膳食補充劑研究員和加州大學舊金山分校(University of California San Francisco)的教授凱西·登內希表示,還有一些人群更容易出現維生素B12缺乏癥。登內希此前曾接受《財富》雜志采訪,談論與維生素有關的話題。這些人群中包括自身免疫性疾病惡性貧血的患者,他們無法吸收維生素B12,以及大量服用非處方類胃酸抑制劑(如法莫替丁片)的人群,因為他們缺少從動物蛋白中釋放維生素B12所需要的胃酸。

維生素B12膳食補充劑提高精力

服用維生素補充劑是提高維生素B12攝入量的簡單方法。但要有選擇性地購買補充劑。

自然療法內分泌學家、《這正常嗎?》(Is This Normal? )一書的作者喬琳納·布賴滕此前曾對《財富》雜志表示:“要小心那些價格明顯低于其他同類產品或看起來特別劃算的補充劑。它們通常使用質量較差的成分,而且在某些情況下,由于它們不受監管,因此它們實際上并沒有標簽上所標記的成分。”

為了幫助避免這些風險,登內希建議,首先要去咨詢醫療護理提供者或者注冊營養師,他們非常熟悉各種膳食補充劑。在準備購買補充劑時,一定要進行一些調查研究,尤其是品牌調研。

消費者可以咨詢國立健康研究院膳食補充劑辦公室和需要付費訂閱的來源。如消費者實驗室(Consumer Lab)的檢驗結果可以付費查看,該機構分析從可能的污染到保證膳食補充劑中含有其聲稱的成分等各種問題。登內希之前曾告訴《財富》雜志稱:“人們經常問我的一個問題是:‘我服用的這個品牌是不是好品牌?’”

維生素B12可能存在于多種維生素、B族維生素膳食補充劑和維生素B12補充劑中,它可能有許多天然的和人工合成的形式,包括氰鈷胺和腺苷鈷胺素等,有些補充劑是可在舌頭下溶化的舌下片。但國立健康研究院膳食補充劑辦公室稱,目前沒有研究證明任何形式的維生素B12膳食補充劑比其他同類產品更有效果。此外,國立健康研究院指出,有些補充劑的劑量遠遠高出推薦劑量,例如500微克或1,000微克,但由于人體只能吸收一小部分,因此這些劑量被認為是安全的。

補充維生素B12的其他途徑

國立健康研究院指出,處方藥形式的維生素B12可以注射。據《今日醫學新聞》(Medical News Today)報道,這種情況通常適用于有維生素B12缺乏癥,同時存在吸收問題和接受過胃部手術的患者,因為注射使人體無需經過消化系統,就能吸收維生素B12。

維生素B12還可以通過處方藥的形式以鼻凝膠噴入鼻腔,或者通過靜脈注射補充,但對于靜脈注射這種給藥方式的療效和安全性,人們存在不同的看法。

但登內希強調,無論你選擇以哪種方式補充維生素B12,歸根結底,“維生素B12能夠提高精力的唯一原因是,你正在改善缺乏癥。”(財富中文網)

譯者:劉進龍

審校:汪皓

Feeling low-energy? You could be among the estimated 3.6% of Americans who are deficient and 12.5% who get insufficient amounts of vitamin B12.

The first step to finding out is seeing your doctor, as Dr. Elizabeth Sharp, internist and medical director at Health Meets Wellness in New York City, previously told Fortune.

“If someone is dealing with low energy, my initial response would be to recommend a series of tests before considering supplements,” she said. Testing for vitamin deficiencies, including vitamin B12, she says, is “crucial,” especially in vegans and vegetarians.

What does vitamin B12 do?

Vitamin B12, according to the National Institutes of Health Office of Dietary Supplements, is a nutrient (or family of molecules called the cobalmins that incorporate an ion of the element cobalt in their structure, according to Discover) that helps keep your body’s blood and nerve cells healthy and helps make DNA, the genetic material in your cells. It also helps prevent megaloblastic anemia, a blood condition that may be the culprit behind someone feeling tired and weak.

Vitamin B12 deficiency symptoms

In addition to weakness and fatigue, a B12 deficiency may also prompt a slew of other symptoms, depending on the severity, including:

? pale skin

? heart palpitations

? loss of appetite

? weight loss

? infertility

? tingly hands and feet due to nerve problems

? balance issues

? depression

? confusion

? dementia

? poor memory

? mouth soreness

How much vitamin B12 do I need per day?

Everyone requires a certain amount of B12 depending on their age, starting with .5 mcg per day for infants up to 2.4 mcg for teens and adults and even more—2.6 mcg and 2.8 mcg, respectively, for women who are pregnant or breastfeeding.

Vitamin B12 foods

B12 is found in a wide array of animal-based foods, as it’s produced by a gut bacteria that is then accumulated in the muscle tissue of most herbivorous animals, including fish, cows, chickens, and some shellfish, throughout their lives; additionally, many livestock are supplemented with B12 through their feed. When it’s absorbed by the animal, it is in turn passed on to people who eat animal-based products such as dairy and meat.

Vitamin B12 does also accumulate in a few plant-based sources, including some mushrooms, seaweed, and nutritional yeast, but not enough to fortify vegans, who, in particular, should consider being tested for deficiency and then boosting intake with both B12-fortified foods, such as cereals and plant-based milks, and supplements.

Some other populations are also more likely to be deficient, according to Cathi Dennehy, a doctor of pharmacy, dietary supplement researcher, and professor at the University of California San Francisco, who previously spoke with Fortune about the vitamin. That includes folks with an autoimmune disorder called pernicious anemia, who are unable to absorb B12, and people who take a lot of over-the-counter stomach-acid reducers, like famotidine, because they don’t have the stomach acid to release the B12 from the animal protein.

B12 supplements for energy

Taking vitamin supplements is a simple way to boost your B12 intake. But be selective when making your purchase.

“Be wary of supplements that are far cheaper than the rest or look like a good deal,” Jolene Brighten, naturopathic endocrinologist and author of Is This Normal?, told Fortune previously. “Often these are using poor quality ingredients and in some cases, because they are not regulated, they won’t actually have what the label lists.”

To help avoid such risks, suggests Dennehy, start by speaking with your health care provider or a registered dietitian who is well-versed in supplements. Then, when you’re ready to buy, be sure to do some research, especially on the brand.

Consumers may want to consult the NIH Office of Dietary Supplements as well as subscription-based sources, such as Consumer Lab, which charges a fee for access to its test results, which looks into issues ranging from possible contaminants to making sure a supplement contains what it claims to, Dennehy previously told Fortune, noting, “A question that I get asked fairly frequently is, ‘Is this brand that I’m taking a good brand?’”

Vitamin B12 can be found in multivitamins, B-complex supplements, and by itself in a B12 supplement, which are available in many natural and synthetic forms including cyanocobalamin and adenosylcobalamin—some in a sublingual pill that dissolves under the tongue. But research has not shown that any form of supplemental vitamin B12 is better than others, according to the NIH Office of Dietary Supplements. Further, notes the NIH, some come in doses much higher than recommended amounts, such as 500 mcg or 1,000 mcg, but because your body absorbs only a small percentage, those doses are considered safe.

Other ways to get extra B12

A prescription form of vitamin B12 can be given as an injection, notes the NIH—typically for people with deficiencies who also have problems absorbing vitamin B12 as well as those who have undergone gastric surgery, as shots enable the body to absorb vitamin B12 without going through the digestive system, according to Medical News Today.

Vitamin B12 is also available by prescription as a nasal gel that’s sprayed into the nose—as well as through IV infusions, although there are mixed opinions on the efficacy and safety of this delivery method.

But finally, stressed Dennehy, however you opt to supplement yourself, “the only reason it would improve energy would be if you’re correcting a deficiency.”

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