The information below provided with kind permission of Sally M. Pacholok R.N. & Dr. Jeffrey J. Stuart.
Mothers with depleted B12 stores...
...who exclusively breast feed their babies unknowingly put them at great risk for developmental disability or even death. This is a common cause of B12 problems in infants; one study for instance, found that a group of six infants became ill after being nursed by vegetarian mothers. (The other half were born to mothers with undiagnosed pernicious anaemia).
Vegetarian and vegan mothers are devastated and feel tremendous guilt when their children suffer harm due to B12 deficiency, but in reality, most of these tragedies are the fault of doctors who fail to screen pregnant and nursing mothers for this deficiency - and who then often misdiagnose these women's children as intellectually disabled or autistic, rather than considering B12 deficiency when the infants lose their speech, social skills and motor skills.
Signs & symptoms in infants and children
- Developmental delay or regression
- Apathy - Irritability
- Hypotonia (decreased muscle tone)
- Involuntary movements
- Seizures (fits)
- Ataxia (Neurological disorder affecting balance, coordination and speech)
- Anorexia and other eating disorders
- Failure to thrive
- Poor weight gain
- Poor head growth
- Poor socialisation
- Poor motor skills
- Language delay
- Speech problems
- Lower IQ - Intellectual disability
- Macrocytosis (large red blood cells) Note - need not be present!
Red flags of B12 deficiency in infants, children and teenagers
If your child exhibits any of the following signs or symptoms, insist that your doctor tests for B12 deficiency.
- Movement problems, including difficulty in walking or writing
- Mental changes - irritability, altered mood, poor memory, "flat" emotional tone, autistic-like withdrawal
- Vision problems/abnormalities
- Slowed weight and height gain
- Leg pains or other abnormal sensations
- Loss of appetite
- An abnormally small head circumference in infants or toddlers
- Apathy, lethargy, or irritability
- Involuntary movements, such as arm waving in infants or toddlers
- Grey hairs / premature greying
- Areas of hypo pigmented skin in a Caucasian child and/or vitiligo, or areas of hyper pigmented skin in a black or Asian child
- A rooting reflex after eight months of age (this reflex is usually absent after six months of age
- A history of any surgery (including dental surgeries) involving nitrous oxide. This anaesthetic agent is often administered during dental work or surgeries such as insertion of ear tubes in children with chronic ear infections, can inactivate the body's stores of B12 and cause severe neurological damage
- Failure to thrive (poor appetite, poor growth and/or weight gain, general poor health)
- Chronic constipation
- A diagnosis of developmental delay, autism, cerebral palsy, Intellectual disability, or other neurological disorder
- Severe food allergies or sensitivities
- A diagnosis of coeliac disease or gluten enteropathy
- A thyroid disorder or other autoimmune disorder
- A history of stroke or a diagnosis of arteriosclerosis
- A diagnosis of any psychiatric or behavioural disorder including ADHD
- A diagnosis of Downs Syndrome
Documentary on B12
Elissa Leonard's documentary on B12 deficiency with Sally Pacholok and Jeffrey Stuart, Diagnosing and Treating Vitamin B12 Deficiency.