Why Even “Healthy-Looking” People Have Low Vitamin B12 in South India

     You may look healthy, eat home-cooked food, and have no major illness. Still, many people in South India are deficient in Vitamin B12. This is one of the most common nutrition problems I see in my 20 years of practice.

    Let us understand why this happens, what Vitamin B12 does, and how to correct it with the right foods.



What Is Vitamin B12 and Why Is It Important?

Vitamin B12 is a vital nutrient needed for:

  • Healthy nerves and brain

  • Red blood cell formation

  • Energy and stamina

  • Memory and concentration

  • Preventing anemia and fatigue

Low B12 can silently damage your health even if you look fit from outside.

Why Are Healthy-Looking People in South India Low in Vitamin B12?

1. Mostly Vegetarian or Low Animal Food Intake

Many South Indians follow:

  • Vegetarian diets

  • Occasional non-veg intake

  • Religious fasting or food restrictions

Vitamin B12 is naturally found only in animal foods. Plant foods do not provide enough B12.

2. Overcooking & Reheating Food

Traditional cooking methods like:

  • Long boiling

  • Pressure cooking repeatedly

  • Reheating leftovers multiple times

These can destroy Vitamin B12, especially in milk and animal foods.

3. Poor Absorption, Not Poor Eating

Even if you eat B12-rich foods, absorption may be low due to:

  • Acidity

  • Gastritis

  • Long-term antacid use

  • Diabetes medicines

  • Thyroid medicines

  • Gut health issues

So you may eat “right” but your body may not absorb B12 properly.

4. Age-Related Decline

After the age of 30–35 years, B12 absorption slowly reduces. This is why many middle-aged adults feel:

  • Tired

  • Weak

  • Forgetful

  • Numbness in hands or feet

5. Stress & Poor Gut Health

High stress, irregular meals, and poor sleep disturb gut health. A weak gut means poor nutrient absorption, including B12.



Common Signs of Vitamin B12 Deficiency

  • Constant tiredness

  • Dizziness

  • Hair fall

  • Pale skin

  • Tingling or numbness

  • Memory issues

  • Mood changes

  • Breathlessness

Many people ignore these signs thinking it is “normal weakness.”

Best Vitamin B12 Food Sources 

For Non-Vegetarians

  • Fish (especially sardines, mackerel)

  • Eggs (egg yolk is rich)

  • Chicken

  • Mutton

  • Liver (occasionally)

👉 Consume 2–3 times per week for better levels.

For Vegetarians

Natural vegetarian sources are very limited, but helpful options include:

  • Milk

  • Curd

  • Paneer

  • Butter

  • Cheese

👉 Fermented dairy like curd is better absorbed.

Fortified Foods 

  • Fortified milk

  • Fortified breakfast cereals

  • Fortified nutritional yeast

Always check the label for “Vitamin B12 fortified”.



Do You Need Supplements?

Many South Indians do need supplements, especially:

  • Vegetarians

  • Elderly people

  • Diabetics

  • Thyroid patients

  • People with gut issues

👉 Always take supplements only after blood testing and Physician advice.

How to Improve B12 Absorption Naturally

  • Eat on time

  • Improve gut health

  • Reduce excess tea/coffee

  • Avoid unnecessary antacids

  • Include probiotics like curd and buttermilk

  • Manage stress

Final Message from a Dietician

    Looking healthy does not mean you are nutritionally healthy. Vitamin B12 deficiency is common, silent, and serious.

Awareness is the first step to prevention.


👉 Stay connected and come back regularly to read more simple, science-based nutrition blogs.

– Saranya, Dietician/ Sara Nutrition


⚠️ Disclaimer :For educational purposes only. Consult a professional for individual health advice.


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