Why is vitamin B12 so important?

Vitamin B12 is otherwise known as cobalamin because it’s the only vitamin that contains the essential mineral, cobalt. It was first isolated from liver extract in the late 1940s and was found to be the answer to a very serious condition called pernicious anaemia. Thankfully this fairly rare condition can now be identified much earlier. However, deficiency of vitamin B12 is still remarkably common.

Clinical nutritionist, Suzie Sawyer, shares her thoughts on vitamin B12.

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WHY IS IT SO IMPORTANT?

Vitamin B12 is key to the healthy production of red blood cells and the myelin sheath around nerve cells, hence it’s important for nerve function. B12 also works with folic acid (vitamin B9) in many body processes. Indeed, a deficiency of either nutrient can often be masked by the other, hence if a blood test is taken, it should involve both vitamins.

Side profile of a person higlighting their brain functioning

Importantly, vitamin B12 is known as a methyl donor, which carries and donates methyl groups (carbon and hydrogen molecules) to cell membranes and brain neurotransmitters. It’s a positive chemical reaction, one of its main roles being the metabolism of homocysteine. This is an amino acid produced in the body, high levels of which can potentially cause an array of health issues. Vitamin B12 is also involved with energy metabolism and immune function, so as you can see it’s pretty important!

WHERE CAN I GET IT FROM?

Unlike other water-soluble nutrients (such as other B-vitamins), B12 is stored in the liver, kidneys and other body tissues, but obviously only if there’s some available in the diet. Absorption is also dependent on having sufficient hydrochloric acid in the stomach which reduces as we get older. It is also thought that the beneficial bacteria naturally living in the gut, may produce some vitamin B12; research is very unclear though as to how much can actually be utilised. Plus, it’s likely that the good gut flora needs to be in tip-top condition for this process to take place, and many people have an imbalance in this area.

A range of foods containing Vitamin B12

Vitamin B12 is only found in animal produce, including offal (liver and kidneys), eggs, fish, cheese and meat. There may be some found in fermented sources such as sea vegetables and tempeh. But although vegans are often told that fermented foods, including miso and tofu, are good sources, there’s a big question mark about whether it’s in the form the body can utilise. Therefore fermented foods are certainly not a reliable source of vitamin B12.

In short, animal products are the only assured source which means that vegans are highly likely to be deficient unless they’re taking a supplement.

TEN FOODS HIGH IN B12

Foods containing Vitamin B12

Many people shy away from liver because the taste is too strong. However, the flavour of chicken livers is much more subtle and they’re great served warm with a salad, as a quick and delicious midweek meal. For a good contrast of flavours, mix salad leaves with some chopped hazelnuts and goat’s cheese. The chicken livers can be quickly fried (a couple of minutes per side) sprinkled with herbs and a little paprika and served immediately.

Cooked chicken livers

 HOW DO I KNOW IF I HAVE A DEFICIENCY?

We know the body can store some vitamin B12, so a deficiency can sometimes take a while to come to light and then symptoms may be slightly vague and non-specific.

Deficiency may cause extreme tiredness, plus nerve function can be off-balance triggering ‘pins and needles’, numbness or a burning feeling anywhere in the body. Low mood, lack of concentration and depression are also commonplace. More dramatic symptoms leading up to pernicious anaemia are likely to be persistent diarrhoea and a very red, inflamed tongue, but this is uncommon.

WHAT SHOULD I DO?

Deficiency of vitamin B12 is often down to poor absorption and low dietary intake. The likelihood of deficiency also increases with age as digestive issues become enhanced. Plus, anyone with poor digestion is much more likely to have a deficiency. The good news is that by either increasing the amount you eat in the diet or taking a supplement containing vitamin B12, you can be sure you’re getting enough of this essential vitamin.

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Brain Nutrition: the top 5 foods to eat for a sharper brain

A plate with a picture of a brain on to represent eating healthily to support a sharper brain

Many of us struggle with poor memory or lack of concentration from time-to-time, and for some, more frequently. Whilst the brain will always show signs of ageing, generally from age 50, we’d all like some extra brain power, whatever our age!

Clinical nutritionist Suzie Sawyer shares her top five foods to give your brain that extra boost.

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EGGS

Eggs are not only an all-round superfood, they’re rich in choline, a member of the family of B-vitamins. Choline’s main ‘claim-to-fame’ is that it helps make acetylcholine, the brain’s key memory transmitter. Importantly, a deficiency of this nutrient could be the single most common cause for a declining memory.

One large egg contains around 300 mg of choline. Choline has two major functions; it’s needed for the structure of brain cells, plus the production of acetylcholine. The human body can make some choline in the liver, but it’s not usually sufficient to make healthy brain cells, hence it’s needed regularly in the diet.

A topped boiled egg in an egg cup

Eggs are also a great source of protein, containing the full profile of amino acids. Having an egg-based breakfast will help keep blood sugar levels in balance throughout the day and this will also keep your brain in sharp focus.

OILY FISH

Oily fish is rich in brain-loving omega-3 fats. These fats are key for good brain health because they’re part of the myelin sheath within the brain structure and are also needed to make those all-important neurotransmitters. The best fish to eat are primarily cold water ones that consume other fish! This means herring, mackerel, salmon and tuna. Try to include some oily fish in your diet around three times a week.

A whole cooked fish to represent healthy omega 3 fats

If you’re vegetarian, then you don’t need to miss out. Flax seeds, pumpkin seeds and walnuts are great sources of alpha-linolenic acid (ALA), a key omega fat which the body converts into the most active form being EPA (rich in fish). So the brain will still get what it needs.

BANANAS

This perfect, conveniently wrapped fruit is high in vitamin B6, which is another nutrient that’s essential for the production of those essential neurotransmitters. It’s no coincidence that bananas are a popular weaning food for babies, maybe for this reason. Plus, of course, they’re easy to digest (when fully ripe).

Porridge topped with bananas and blueberries

The brain needs a constant supply of certain nutrients to keep these neurotransmitters ‘firing’ and sending messages between cells. Several B-vitamins, and in particular B6, also encourage the production of acetylcholine as well as keeping nerves healthy.

Bananas are one of the easiest foods to incorporate into the diet because they’re so transportable but also versatile in dishes. They’re also a great start to the day on top of your morning oats with some natural yoghurt.

AVOCADOS

We know that the brain contains lots of fats, which are key to its make-up. However, this makes the brain susceptible to attack from damaging free radicals. If not stopped in their tracks, free radicals can cause damage throughout the body, particularly to nerves, which will inevitably impact on brain function.

The good news is that nature has provided a wealth of foods containing protective nutrients. Vitamin E, a powerful antioxidant found in avocados, works in partnership with vitamin C in the antioxidant department. Interestingly, people with good blood levels of antioxidants may do better in memory tests!

Avocado on rye toast showing healthy breakfast

Whilst some people shy away from avocados because of their higher calorie load, the benefits of including one in your diet, three times a week, far outweighs any negatives. They’re particularly delicious with prawns, in salads, smashed on toast with eggs for breakfast, or with bacon and grilled chicken.

PEAS

The humble pea is rich in folic acid, which works alongside vitamin B6 in helping produce the brain’s neurotransmitters. Plus, they’re so versatile and tasty too! They’re a good source of protein and fibre, helping to keep blood sugar levels in good balance and therefore, the brain in great working order.

a bowl of fresh peas and pea pods on a table

Peas are a very popular frozen vegetable because they’re so quick and easy to add to a meal. The freezing process can actually retain more of their nutrient content because they’re frozen quickly after harvesting, so don’t worry that these frozen vegetables are any less nutritious than fresh ones. They will also certainly contain less starch. We tend to forget that peas also come in the form of mange tout or the sugar snap variety, which are both equally great for the brain.

So add some of these brain-boosters to your diet this season and stay sharp!

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How to balance your blood sugar: top nutrition tips

Blood sugar balance is frequently talked about, particularly by nutritionists! But what is its significance and why is it so important for our overall health and wellbeing?

Clinical nutritionist, Suzie Sawyer, shares her five top tips for balancing blood sugar levels.

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The sugar from the food we eat has to be very tightly regulated within the body so levels don’t get too high, and poor dietary and lifestyle choices can really challenge the system. Fluctuating sugar levels that are constantly up and down can lead to everything from weight gain, low energy and mood swings to general hormonal imbalances and lack of concentration. However, the good news is that everything can actually run very smoothly with a few simple tweaks.

EAT PROTEIN AT EVERY MEAL

Protein found in meat, eggs, chicken, beans, lentils, soya, dairy produce, has a very positive effect on keeping blood sugar levels in good balance.

Protein helps balance blood sugar because it slows the rate at which food is absorbed into the bloodstream, plus it encourages the release of the fat-burning hormone glucagon. It makes sense, therefore, to include some at every meal. For example, egg on wholemeal toast for breakfast, salmon with a mixed bean salad for lunch and grilled chicken and roasted vegetables for dinner.

A range of foods containing protein

It’s also a vital part of the diet because it is the basic building block of all cells, muscles and bones, as well as skin, hair and nails. Because muscles are made up of protein, it’s essential to keep muscle mass strong, which also encourages weight loss by increasing the metabolism.

DITCH THE SUGAR AND STIMULANTS

If your diet is very high in white refined carbs then start by switching to ‘brown’ as much as possible. Refined foods, sugars and stimulants such as caffeine and alcohol are quickly released into the bloodstream sending blood sugar levels soaring, which is not what they’re meant to do.

A rnage of wholegrain foods

Start by switching to wholemeal bread, wholemeal pasta and whole grain foods, which are absorbed into the blood stream much more slwoly and therefore sustain energy levels throughout the day. Switch to decaffeinated drinks and keep alcohol to a minimum.

EAT REGULARLY BUT DON’T GRAZE

It’s important not to go for too long without food (ideally around three to four hours). So, aim for three meals a day and maybe a small snack in between each. This will keep blood sugar levels even throughout the day. However, constant grazing is not good; this constantly challenges the insulin response, which will ultimately lead to highs and lows.

A healthy breakfast of eggs, smoked salmon and avocado

It is absolutely key not to miss breakfast. After a long night of fasting, if you don’t re-fuel in the mornings, the body will start to break down muscle. Over a period of time, this will lead to a lowered metabolic rate. Plus, if you just grab a quick espresso, your blood sugar levels will definitely soar and then quickly crash so you’ll be on a roller coaster all day! Eggs or porridge are two of the best starts to the day.

SNACK CLEAN

Eating a small nutritious snack mid-morning and mid-afternoon will help to stabilise blood sugar levels. Some great snack ideas include an apple with a few almonds, a small pot of live yoghurt with fruit, ½ an avocado, some chopped vegetables with hummus, peanut butter or other nut butters with oatcakes, fresh fruit with nuts and seeds – so many health combinations to try!

Woman eating yoghurt with berries showing healthy breakfast

The most important thing to remember is to try to include some protein with every snack, which as well as keeping the blood sugar levels in balance, means you’ll also stay fuller for longer and therefore less likely to reach for sugary treats.

EAT GOOD FATS

Whilst many people believe that ‘fat makes you fat’, the real culprit is actually sugar and refined carbohydrates in food. However, it’s no secret that too many ‘bad’ fats found in red meat and dairy products can cause heart disease if eaten too regularly. They also cause insulin resistance because they can make cell membranes hard and less receptive to insulin, which is essential for blood sugar control.

A range of foods containing healthy Omega-3 fats

Enter good fats! These are the essential omegas that need to be eaten very regularly and help to boost metabolism and slow the rate that the stomach releases carbohydrates. Nuts, seeds and oily fish are the best sources of omega-3s. They’re not too difficult to include in the daily diet; nuts and seeds on your morning porridge, pumpkin seed butter on oatcakes as a snack and grilled sardines or salmon for lunch or dinner.

In short, the more even your blood sugar levels are, the more even your energy and mood will be, so adopt these dietary tips to keep your blood sugars balanced every day.

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Top nutrition tips to winter-proof your diet

Close up of woman with wooly hat and scarf to represent winter

With the onset of colder weather, our thoughts naturally turn to the approach of winter. Unfortunately, we tend to be more susceptible to nasty bugs at this time of year and through the winter months. However, with a few dietary ‘tweaks’ you can winter-proof your diet to keep your body in good health all season long.

Clinical nutritionist Suzie Sawyer shares her tips on what’s good to eat and what’s best to ditch during the winter months.

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LOVE LEMONS!

Most people enjoy eating citrus fruits such as oranges, grapefruits and tangerines, but avoid lemons because of their sharp flavour. However, their high vitamin C content can really help to support the immune system and they’re great at encouraging the liver to detox.

Fresh leons and lemon tea with root ginger on a wooden background

There are so many ways they can be incorporated into the daily diet; squeezed over grilled fish, added to salad dressings, drizzled over a morning pancake or added to a warming drink with ginger and honey. And for those with aches and pains, lemons also help balance the body’s natural alkalinity, so all the joints move a little smoother.

EAT YOUR GREENS

Spinach is obviously a green-leafy vegetable whose virtues are often extoled. However unlike other similar vegetables, spinach is high in oxalic acid which interferes with the absorption of certain minerals: oxalates tend to deplete iron and calcium, both of which are essential through the winter months to support the immune system and the muscles, joints and bones. But the good news is if you cook spinach this breaks down the oxalic acid, resulting in loss of fewer nutrients – so always go for steamed or sautéed spinach, especially during the winter months.

A selection of green leafy vegetables

There are of course also plenty of other green vegetables to choose from such as broccoli, kale cauliflower and sprouts, all of which should be readily eaten during the winter months for their very dense nutrient content.

SWEETEN WITH MOLASSES

When the temperature drops, we naturally tend to crave more sugary and carbohydrate-based foods. Clearly, we need to be mindful of this. However, molasses, which can be found in health foods stores, are a really good way of adding some sweetness to dishes. They actually have quite a strong flavour, so not too much is needed but they’re packed with the mineral iron to help keep energy levels up.

Roast leg of lamb with trimmings

Molasses can be used in sweet or savoury dishes; think pulled pork, lamb shank, game pies or chicken meals, in pancakes, flapjacks, or sticky toffee pudding (for a real treat).

AVOID WHITE SUGAR

Sugar is everywhere – often in foods you wouldn’t expect – and it is important to remember that it contains no nutrients at all. In fact, it may even impair absorption of essential nutrients. During winter-time the body is often under attack from infections, therefore the immune system needs to be in good shape. So it makes sense to take in good calories from health-giving foods rather than empty ones found in cakes, biscuits and pastries. It’s good to get into the habit of reading labels; many processed foods, cereals and those labelled ‘low-fat’ have much more sugar in than we realise.

FLAVOUR WITH GARLIC!

Garlic is a super food! It works naturally to fight invading viruses, bacteria and fungi. Therefore, it makes sense to include it in dishes as much as possible. Plus, of course it’s totally delicious and versatile.

A basket with whole cloves of garlic

Garlic can be added to almost any savoury dish but it works especially well in soups, stews, lamb dishes, potato dauphinoise and stir fries. The more you eat, the better your immune system will cope during the winter months.

CUT DOWN ON DAIRY

Dairy products including milk, cream, cheese and yoghurt are not great for your respiratory system as they tend to encourage the production of mucous and nasal congestion, generally. With the threat of colds ever present during the winter months, it makes sense to reduce dairy intake where possible. There are so many dairy alternatives in the form of nut milks, oat, rice and soya. Why not try out a variety and see what works for you? Plus, you don’t need to miss out on yoghurt as there’s plenty of dairy-free ones readily available in the supermarkets.

A range of milks made from nuts

And if you’re missing some spread on your sandwiches, then why not use some hummus for a much healthier and tastier option?

So with a few easy dietary tweaks you can prepare your body to fight the oncoming bugs and be winter-ready!

 FOR MORE GREAT DIET AND LIFESTYLE ADVICE:

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For everything you need to know about vitamins, minerals and herbs visit our sister site Herbfacts