Padjane Com Vitaminb12

Vitamin B-12: Everyday for Healthy Brains and Bodies
Getting Ready 1. Review lesson plan before each session. 2. Review Additional Information for the Educator. 3. Copy overheads: a. itamin !"12 Everyday for #ealthy !rains and !odies b. itamin !"12 and $our !ody c. Eat itamin !"12 Everyday d. %ood and supplement labels &' of them( ). Copy handouts: a. Chec* one to +et the vitamin !"12 you need each day, b. -ost"test: itamin !"12 .uestions '. #ave evaluation and attendance forms ready. Supplies 1. -ictures or pac*a+e labels of meat/ poultry/ fish/ mil*/ yo+urt/ cheese/ e++s. 2. Cereals: not always fortified with vitamin !"12 &e.+./ +eneric brands0 read labels carefully(. 3. Cereals: fortified with vitamin !"12 &find brands with 2'1 to 1221 of the 3aily alue for vitamin !"12(. ). 4utritional supplements that vary in their vitamin !"12 content such as: a. 5ulti"vitamin"mineral supplement with about 2 to 6 micro+rams &mc+( of vitamin !"12 b. 5ulti"vitamin"mineral supplement for seniors with about 12 to 2' micro+rams &mc+( of vitamin !"12 c. itamin !"12 supplement with 1/222 to 2/222 micro+rams &mc+( of vitamin !"12 Beginning the Session 1. Introduce yourself by name and the or+ani7ation that you represent. 2. 8ummari7e the lesson by +oin+ over the ob9ectives. 3. :et the +roup *now that the lesson will be informal and they can as* ;uestions anytime. O !e"tives < =he participants will: 1. >nderstand how vitamin !"12 *eeps people healthy.
5ay 2223/ 3epartment of %oods and 4utrition/ =he >niversity of ?eor+ia/ Athens/ ?A 32622 %undin+ from >?A and the 4ortheast ?eor+ia Area A+ency on A+in+ >?A is an e;ual opportunity provider and employer
2. Reco+ni7e ris* factors for vitamin !"12 deficiency. 3. 3evelop a personal plan to +et vitamin !"12 from cereals or supplements every day.
S"ript #ntrodu"tion &Start with this series of questions.) Can anyone tell me about vitamin !"12@ Are any of you +ettin+ vitamin !"12 shots from your doctor@ It is true that many older adults are deficient in vitamin !"12/ and may be +ettin+ vitamin !" 12 shots from their doctor.
Show handout, Vitamin B-12 Everyday for Healthy Brains and Bodies. In fact/ vitamin !"12 deficiency is common in older adults "" about one of every 12 older adults has vitamin !"12 deficiency. itamin !"12 deficiency can cause many health problems.
8o today we are +oin+ to tal* about how vitamin !"12 *eeps us healthy/ the reasons why people a+ed '2 and older should eat crystalline vitamin !"12 every day/ some brea*fast cereals and supplements that contain crystalline vitamin !"12/ and how to loo* for at least 2'1 of the 3aily alue for vitamin !"12 on food and supplement labels. AeBll also develop a personal plan to ma*e sure we +et vitamin !"12 every day. $oes anyone %no& ho& vitamin B-12 helps %eep people healthy' itamin !"12 is very important for your brain/ nerves/ and blood system. -eople who are vitamin !"12 deficient can develop numbness/ wea*ness/ problems seein+/ poor memory/ confusion/ tin+lin+ in the hands and feet/ difficulty wal*in+/ and anemia &lar+e red cells(.
Show handout, Vitamin B-12 and Your Body. itamin !"12 is needed in the brain and the nervous system that controls functions such as our vision/ feelin+ in the hands/ and movement of our arms and le+s0 and also in the blood.
(an anyone tell me the ris% fa"tors for vitamin B-12 defi"ien"y' efer to Vitamin B-12 and Your Body. =he main ris* factor for vitamin !"12 deficiency is bein+ a+e 62 or older/ because as we a+e: 8tomach acid decreases so vitamin !"12 canCt be di+ested in the stomach. =he absorption of vitamin !"12 decreases in the intestine. Dther common ris* factors for vitamin !"12 deficiency are: Intestinal problems such as ulcers or havin+ part of the intestine removed. =a*in+ medications such as antacids and laEatives on a re+ular basis.
)rote"t yourself from vitamin B-12 defi"ien"y y: Eatin+ animal foods such as meat/ poultry/ fish/ mil*/ cheese/ and e++s. Consumin+ crystalline vitamin !"12 from fortified cereals or supplements every day. (an anyone name the main food sour"es of vitamin B-12' itamin !"12 is found naturally only in animal foods such as liver/ meat/ poultry/ fish/ e++s/ mil*/ cheese and other dairy foods. itamin !"12 is not found naturally in plant foods such as fruits or ve+etables.
Show animal food items su!h as meat, "oultry, fish, e##s, and dairy foods $models, a!tual foods or !ontainers). If you eat animal foods/ then you are +ettin+ some vitamin !"12 each day. itamin !"12 is also added to many/ but not all/ brea*fast cereals. =his form of vitamin !" 12 is called crystalline vitamin !"12. Crystalline vitamin !"12 is found in some fortified cereals. itamin !"12 is added to some/ but not all/ fortified foods such as soy mil*/ brea*fast bars/ and sports bars.
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itamin !"12 is also found in many nutritional supplements such as multi"vitamin"mineral supplements.
*s people age+ their odies "an,t a sor the vitamin B-12 found in animal foods very &ell 8o/ everyone over '2 years of a+e should +et crystalline vitamin !"12 everyday from a fortified food/ such as cereal/ or a vitamin supplement. Show handout, Eat Vitamin B-12 Everyday. %lso show the !ereal food la&els on the overhead and some !ereal &o'es. #ere are some brand name brea*fast cereals that have crystalline vitamin !"12. ?eneric or store brand brea*fast cereals may not have vitamin !"12. =here is usually no vitamin !"12 in oatmeal or +rits. If you en9oy eatin+ brea*fast cereal/ then choose a cereal that has vitamin !"12. Choose cereals that have at least 2'1 of the 3aily alue for vitamin !"12 &see food label(. If you do not eat a brea*fast cereal with vitamin !"12/ then you should ta*e a supplement with vitamin !"12 every day. Show the su""lement food la&els on the overhead and some su""lement &ottles. #ere are some supplements that have vitamin !"12. Choose supplements that have at least 2'1 of the 3aily alue for vitamin !"12 &see supplement label(. .et,s ma%e a personal plan to get vitamin B-12 everyday :etCs loo* at our handout called F Chec* one to +et the vitamin !"12 you need each day,F Remember/ +et vitamin !"12 everyday from a fortified food or a vitamin supplement. Ho& "an # find out if # have vitamin B-12 defi"ien"y' >nfortunately/ people are usually only tested for vitamin !"12 deficiency if they already have si+ns of vitamin !"12 deficiency such as severe memory problems or lar+e red cells. >sually people with dementia are tested by their doctor for vitamin !"12 deficiency. $ou can as* your doctor to test your blood for vitamin !"12 deficiency.
Vitamin B-12 $efi"ien"y in the Elderly *dditional #nformation for the Edu"ator )revention of vitamin B-12 defi"ien"y 4utrition and health policy re+ardin+ vitamin !"12 deficiency is currently evolvin+. !etween ' and 1'1 of older adults have vitamin !"12 deficiency. 8tudies conducted by 3r. 5ary Ann Hohnson and her collea+ues at the >niversity of ?eor+ia su++est that about 221 of older adults in Dlder Americans 4utrition -ro+rams have vitamin !"12 deficiency. #i+h rates of vitamin !" 12 deficiency in these elders are lin*ed to advanced a+e/ low use of fortified brea*fast cereals/ low use of supplements containin+ vitamin !"12/ and low inta*es of animal foods that contain vitamin !"12 such as meat and dairy foods &!rac*ett et al./ 1III(. =here are many +ood reasons to help older adults prevent vitamin !"12 deficiency. itamin !" 12 deficiency has serious health conse;uences such as numbness/ wea*ness/ visual problems/ poor memory/ confusion/ tin+lin+ in the hands and feet/ difficulty wal*in+/ and a blood disorder called anemia &lar+e red cells(. 8ome/ but not all/ studies show that people with Al7heimerBs disease have poor vitamin !"12 status. :ow serum levels of vitamin !"12 and other ! vitamins may cause an increase in homocysteine levels/ which is a ris* factor for cardiovascular disease. =he 4ational Academy of 8ciences/ who establishes the Recommended 3ietary Allowances/ recommends that all adults a+ed '2 and older consume the ma9ority of their vitamin !"12 in the crystalline form. =his form is only found in fortified foods and supplements that have vitamin !"12 added. As people a+e/ stomach acid often decreases/ which impairs the di+estion and absorption of vitamin !"12 from animal foods. Crystalline vitamin !"12 from fortified cereals and supplemental nutritional formulas protect a+ainst !"12 deficiency in older adults &Ra9an et al./ 22220 ?arcia et al./ 2222(. Crystalline vitamin !"12 is easier for the body to absorb/ because it does not re;uire di+estion in the stomach. itamin !"12 is ti+htly bound to the protein in animal foods such as beef/ por*/ poultry/ fish/ e++s/ and dairy foods. 8tomach acid is re;uired to di+est and separate the vitamin !"12 from the protein in animal foods. 5any older adults have low stomach acid because they have atrophic +astritis &which causes the stomach to decrease acid production( or they re+ularly ta*e antacids or acid bloc*ers that lower stomach acid. About 321 of older adults have atrophic +astritis/ and a lar+e number of older adults also ta*e antacids. =here is some evidence that other medications that decrease transit time &laEatives( or dama+e the intestine &anti" inflammatory a+ents( may also increase the ris* of vitamin !"12 deficiency.
A less common cause of vitamin !"12 deficiency is the loss of intrinsic factor. Intrinsic factor is produced by the stomach where it binds vitamin !"12 and carries it to the intestine for absorption. =his type of vitamin !"12 deficiency is called pernicious anemia. >nli*e other !"vitamins/ such as folic acid/ vitamin !"12 is added to only a few foods. 4ame brand brea*fast cereals usually/ but not always/ have vitamin !"12 added. ?eneric or store brand brea*fast cereals usually do not contain vitamin !"12. 5anufacturers are be+innin+ to add vitamin !"12 to more of their brea*fast cereals. Dlder adults who do not consume a brea*fast cereal fortified with vitamin !"12 should ta*e a supplement that contains vitamin !"12. 5ulti" vitamins formulated for older adults are a +ood choice for a supplement. 3espite the hi+h prevalence and serious conse;uences/ older adults are not routinely screened for vitamin !"12 deficiency. =here are no public health policies/ such as there are for hi+h cholesterol or hi+h blood su+ar/ that recommend routine screenin+ for vitamin !"12 deficiency. >nfortunately/ most people are dia+nosed with vitamin !"12 deficiency after they develop the symptoms. =herefore/ prevention of vitamin !"12 deficiency is vitally important. Dfficially/ the Recommended 3ietary Allowance for vitamin !"12 is 2.) micro+rams &mc+( per day. =he 3aily alue for vitamin !"12 is 6 mc+Kday. #owever/ some studies have shown that 12 mc+ or more of vitamin !"12 daily is needed to prevent vitamin !"12 deficiency in older adults. Althou+h currently there are no scientific studies that document the amount of vitamin !" 12 that will prevent vitamin !"12 deficiency in the elderly/ it may be prudent to consume between 12 and 2' mc+Kday &16G1 to )1G1 of the 3aily alue(. =hese amounts may sound eEcessive. #owever/ vitamin !"12 is not toEic/ there is no >pper :evel/ and vitamin !"12 can be safely consumed in amounts up to at least 2/222 mc+ each day &2 m+(. =here is concern about the use of many dietary supplements. #owever/ older adults who do not consume vitamin !"12 from fortified foods such as brea*fast cereals should use vitamin !"12 supplements. It is actually cheaper to consume vitamin !"12 from a supplement than from a fortified cereal. %or eEample/ a daily dose of 6 mc+ of vitamin !"12 &1221 of the 3aily alue( from a multi" vitamin"mineral supplement costs about 6 to 12 cents/ while a daily servin+ of brea*fast cereal costs about 1' to 33 cents. Also/ some multi"vitamin"mineral supplements mar*eted to older adults contain 2' mc+ vitamin !"12 &about four times the 3aily alue( and contain other essential nutrients lac*in+ in the diets of many older adults. !rea*fast cereals with both vitamin !"12 and fiber may be a more attractive source of vitamin !"12 than a supplement. !ecause of the many issues involved/ your clients may need your assistance in ma*in+ a personal plan to obtain vitamin !"12 from a cereal or supplement daily.
5ay 2223/ 3epartment of %oods and 4utrition/ =he >niversity of ?eor+ia/ Athens/ ?A 32622 %undin+ from >?A and the 4ortheast ?eor+ia Area A+ency on A+in+ >?A is an e;ual opportunity provider and employer I
$iagnosis of vitamin B-12 defi"ien"y itamin !"12 deficiency is suspected in people with certain mental disorders or who have lar+e red cells with anemia &macrocytic anemia(. Dther causes of macrocytic anemia include folate deficiency/ which is now ;uite rare because of %3A"mandated fortification of the food supply with this !"vitamin. In the past/ vitamin !"12 deficiency was defined as serum vitamin !"12 concentrations less than 122 p+Kml or less than 222 p+Kml. #owever/ it is now *nown that much hi+her concentrations of vitamin !"12 are associated with vitamin !"12 deficiency. Also/ vitamin !"12 deficiency causes increases in another metabolite called methylmalonic acid. =hus/ the most definitive dia+nosis of vitamin !"12 deficiency involves measurement of both serum vitamin !"12 and serum methylmalonic acid. Clinical laboratories can test for both of these indicators at a cost of approEimately L1'2. A combination of serum vitamin !"12 less than 3'2 p+Kml and serum methylmalonic acid +reater than 2G1 nmolK: confirms vitamin !"12 deficiency &8tabler et al./ 1III(. itamin !"12 deficiency can also cause an increase in serum homocysteine/ which is a ris* factor for cardiovascular and neurolo+ical disorders. /reatment of vitamin B-12 defi"ien"y Dnce dia+nosed/ vitamin !"12 deficiency is usually treated with in9ections of vitamin !"12. 3urin+ the first month/ in9ections of vitamin !"12 are +enerally +iven wee*ly/ followed by one in9ection each month &1/222 mc+ or 1 m+Kmonth by in9ection(. Althou+h not routinely used/ oral doses of vitamin !"12 are very effective in the treatment of vitamin !"12 deficiency. A daily dose of 1/222 mc+ to 2/222 mc+ is recommended. =hese amounts can be found in sin+le supplements of vitamin !"12. =reatment with in9ections or hi+h dose oral supplements of vitamin !"12 should continue for life. -eople with vitamin !"12 deficiency should wor* closely with their physician to be sure that they are receivin+ ade;uate treatment for vitamin !"12 deficiency. Summary Recommendations concernin+ vitamin !"12 in older adults is evolvin+. Dn+oin+ research will provide more definitive recommendations in the future. Current information su++ests that: itamin !"12 deficiency is common in older adults. Ris* factors include low stomach acid/ ta*in+ antacids/ and low inta*es of crystalline vitamin !"12. Consumin+ a crystalline form of vitamin !"12 daily from fortified foods andKor supplements can prevent vitamin !"12 deficiency.
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!etween 12 and 2' mc+ of vitamin !"12 &16G to )1G1 of the 3aily alue( from fortified foods or supplements will probably be more effective than lower amounts of vitamin !"12 in preventin+ deficiency. =reatment of vitamin !"12 deficiency should continue for life and involves monthly in9ections of 1/222 mc+ or daily oral doses of 1/222 to 2/222 mc+.
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Referen"es !ai*/ #. A. and Russell/ R. 5. &1III(. itamin !12 deficiency in the elderly. Annual Review of 4utrition 1I: 3'G"3GG. !rac*ett/ A. #./ Hohnson/ 5. A./ %ischer/ H. ?./ Hohnson/ %./ Edmonds/ H. =./ ?unter/ E. A./ M 8tabler/ 8. -. &1III(. itamin and protein disorders in older adults at senior nutrition centers in rural ?eor+ia. -oster presentation at the Annual 5eetin+ of EEperimental !iolo+y/ Aashin+ton/ 3C/ 1III. %A8E! Hournal 13: AI36/ 1III &Abstract N 6I2.2(. !rac*ett/ A. R. #. &1III(. 4utritional 8tatus of -articipants of 4ortheast ?eor+ia 8enior 4utrition Centers. 5asters =hesis/ =he >niversity of ?eor+ia/ Athens/ ?A. Carmel/ R./ ?reen/ R./ Hacobsen/ 3. A./ Rasmussen/ O./ %lorea/ 5. and A7en/ C. &1III(. 8erum cobalamin/ homocysteine/ and methylmalonic acid concentrations in a multiethnic elderly population: ethnic and seE differences in cobalamin and metabolite abnormalities. American Hournal of Clinical 4utrition G2: I2)"I12. ?arcia A0 -aris"-umbo/ A0 Evans/ :0 3ay/ A0 %reedman/ 5. &2222(. Is low"dose oral cobalamin enou+h to normali7e cobalamin function in older people@ Hournal of the American ?eriatric 8ociety '2&J(: 1)21"). #o/ C./ Oauwell/ ?. -./ and !ailey/ :/ !. &1III(. -ractitionersB +uide to meetin+ the vitamin !" 12 Recommended 3ietary Allowance for people a+ed '1 years and older. Hournal of the American 3ietetic Association II: G2'"G2G. #ouston/ 3. O./ Hohnson/ 5. A./ 4o77a/ R. H./ ?unter/ E. A./ 8hea/ O. H./ Cutler/ ?. 5./ M Edmonds/ =. H. &1III(. A+e"related hearin+ loss/ vitamin !"12 and folate in elderly women. American Hournal of Clinical 4utrition 6I: '6)"'G1. Ou7mins*i/ A. .5./ ?iacco/ E. H./ Allen/ R. #./ 8tabler/ 8. -./ and :indenbauhm/ H. &1IIJ(. Effective treatment of cobalamin deficiency with oral cobalamin. !lood I2:11I1"11IJ 4ational Academy of 8ciences. &1IIJ(. 3ietary Reference Inta*es: %olate/ Dther ! itamins/ and Choline. %ood and 4utrition !oard. Report of the Institute of 5edicine. Aashin+ton/ 3.C.: 4ational Academy -ress. Available online &accessed 21K2'K21(: http:KKwww.nap.eduKcatalo+K621'.html Ra9an/ 8./ Aallace/ I. H./ !eresford/ 8. A. A0 !rod*in/ O. I./ Allen/ R. A./ and 8tabler/ 8. -. &2222(. 8creenin+ for cobalamin deficiency in +eriatric outpatients: prevalence and influence of synthetic cobalamin inta*e. Hournal of American ?eriatrics 8ociety '2: 62)"632. 8tabler/ 8. -./ Allen/ R. #./ %ried/ :. -./ -ahor/ 5./ Oittner/ 8. H./ -enninE/ A. H. #./ and ?uralni*/ H. 5. &1III(. Racial differences in prevalence of cobalamin and folate deficiencies in disabled elderly women. American Hournal of Clinical 4utrition G2: I11"I1I.
5ay 2223/ 3epartment of %oods and 4utrition/ =he >niversity of ?eor+ia/ Athens/ ?A 32622 %undin+ from >?A and the 4ortheast ?eor+ia Area A+ency on A+in+ >?A is an e;ual opportunity provider and employer 12
8tabler/ 8. -./ :indenbaum/ H./ and Allen/ R. #. &1IIG(. itamin !"12 deficiency in the elderly: current dilemmas. American Hournal of Clinical 4utrition 66: G)1"G)I. -rimary author: 5ary Ann Hohnson/ -h.3. 4DA#netPu+a.edu =his material/ includin+ artwor*/ was developed with support from the 3epartment of %oods and 4utrition at =he >niversity of ?eor+ia/ the 4ortheast ?eor+ia Area A+ency on A+in+ and the >83A %ood 8tamp 4utrition Education -ro+ram. -ermission is +ranted to reproduce/ translate/ abstract/ review or ;uote these materials in whole or in part for educational purposes only &not for profit beyond the cost of reproduction( provided that the author&s( and =he >niversity of ?eor+ia receive ac*nowled+ement as shown in this eEample notice: e"rinted with "ermission from (he )niversity of *eor#ia, +e"artment of ,oods and -utrition, %thens, *%. %uthors, (itle, +ate.
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Vitamin B-12 Everyday for Healthy Brains and Bodies itamin !"12 deficiency is common in older adults. itamin !"12 deficiency can cause health problems such as: 4umbness/ wea*ness/ tin+lin+ of the hands or feet. ision problems. -oor memory/ confusion. !lood problem called anemia. -eople '2 and older should eat crystalline vitamin !"12 daily. Crystalline vitamin !"12 is the form added to some cereals and supplements/ and it is easy for the body to absorb. 5any cold cereals and supplements contain vitamin !"12. :oo* for at least 2'1 of the 3aily alue on the label.
1)
itamin !"12 is not toEic and up to 2/222 mc+ daily is safe.
1'
Vitamin B-12 and 0our Body Eat vitamin !"12 from cereal or supplements everyday, Vitamin B-12 is needed for: !rain/ eyes !lood 5ovement of arms and le+s A+in+ and medications lower stomach acid which lowers the di+estion and absorption of vitamin !"12
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Eat Vitamin B-12 Everyday from: (ereal
or Supplements
Read la els "arefully1

5ay 2223/ 3epartment of %oods and 4utrition/ =he >niversity of ?eor+ia/ Athens/ ?A 32622 %undin+ from >?A and the 4ortheast ?eor+ia Area A+ency on A+in+ >?A is an e;ual opportunity provider and employer 1G
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3ellogg,s (omplete 4heat Bran 5la%es
Serving Size Servings per Container A ount !er Serving
Nutrition
3 / 4 Cup (29g/1.1 oz) About 17

Cerea" #it$ % Cup &ita ins A ' ( Fat Free )i"*
Facts
Cerea"
Ca"ories Ca"ories ,ro
Fat
9+ 1. 2+.
13+ 1. 2+.
. (ai"/ &a"ue
0ota" Fat 0ota" carbo$/1rate (ietar/ Fiber -g Sugars -g &ita in 212
1++.
11+.
1J
22
/otal Raisin Bran
Nutrition
Facts
Cerea"
1 Cup (--g) About 9
Fat
17+ 1+
21+ 1+
0ota" Fat 1g 0ota" carbo$/1rate (ietar/ Fiber -g Sugars 2+g &ita in 212
. (ai"/ &a"ue 1. 1. 2+. 2+.
1++.
11+.
1I
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General 7ills 7ulti-Bran (he8
Nutrition
Facts
Cerea"
1 Cup (-3g/2 oz) About 3

Fat
2++ 1-
24+ 1-
0ota" Fat 1.-g C$o"estero" 0ota" carbo$/1rate (ietar/ Fiber 7g Sugars 12g &ita in 212
. (ai"/ &a"ue 2. 3. +. +. 27. 27.
2-.
3-.
22
29
7ulti-Vitamin-7ineral Supplement May have 20 to 30 nutrients
Serving Size 1 0ab"et A ount !er 0ab"et
Supp"e
ent Facts
. (ai"/ &a"ue
&ita in 24 Fo"ate &ita in 212
3 g 4++ cg 9 cg
1-+. 1++. 1-+.
21
2:
7ulti-Vitamin-7ineral Supplement for Seniors
May have 20 to 30 nutrients
Serving Size 1 Cap"et 5n"/
Supp"e
ent Facts
. (ai"/ &a"ue 1-+. 1++. 417.
ount !er Cap"et 3 g 4++ cg 2- cg
&ita in 24 Fo"ate &ita in 212
22
2;
Vitamin B-12 Supplement
Serving Size 1 Cap"et 5n"/
Supp"e
in 212
ent Facts
. (ai"/ &a"ue cg 146447. in
ount !er Cap"et 16+++
&ita
7N89:(7:N0S; C/anocoba"a
23
(he"% one to get the vitamin B-12 you need ea"h day1
$aily Value+ < 2' '2 122 m"g 1.' 3 6 7on /ue 4ed /hu 5ri Sat Sun
!rea*fast cereal !rea*fast cereal !rea*fast cereal 8upplements: 5ulti"vitamin"mineral 5ulti"vitamin"mineral 5ulti"vitamin"mineral
122 16G )1G
6 12 2'
-ote. /f your do!tor says you have vitamin B-12 defi!ien!y, then as0 if you !an ta0e an oral su""lement of 1,111 to 2,111 #$equals 1 to 2 m#) daily. Be sure to follow your do!tor2s advi!e.
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=ame: >>>>>>>>>>>>>>> $ate: >>>>>>>>>>>>>>> (ounty: >>>>>>>>>>>>>>> Vitamin B-12 ?uestions (ir"le your ans&ers 1. 3id you learn anythin+ new today@ 2. Are you +oin+ to eat vitamin !"12 from cereal or supplements every day@ 3. 3o you ta*e a multi"vitamin mineral supplement every day@ ). 3o you eat mil* or cheese every day@ '. 3o you eat meat/ poultry or fish every day@ 6. 3o you eat a cold brea*fast cereal every day@ G. Ahat cold brea*fast cereals do you usually eat@ 4o 4o 4o 4o 4o 4o $es $es $es $es $es $es
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Vitamin B-12: Everyday for Healthy Brains and Bodies

itamin !"12 is not toEic and up to 2/222 mc+ daily is safe.

Eat Vitamin B-12 Everyday from: (ereal

Read la els "arefully1

3ellogg,s (omplete 4heat Bran 5la%es

Serving Size Servings per Container A ount !er Serving

3 / 4 Cup (29g/1.1 oz) About 17

Ca"ories Ca"ories ,ro

0ota" Fat 0ota" carbo$/1rate (ietar/ Fiber -g Sugars -g &ita in 212

/otal Raisin Bran

Serving Size Servings per Container A ount !er Serving

1 Cup (--g) About 9

Cerea" #it$ % Cup &ita ins A ' ( Fat Free )i"*

Ca"ories Ca"ories ,ro

. (ai"/ &a"ue 1. 1. 2+. 2+.

General 7ills 7ulti-Bran (he8

Serving Size Servings per Container A ount !er Serving

1 Cup (-3g/2 oz) About 3

Ca"ories Ca"ories ,ro

. (ai"/ &a"ue 2. 3. +. +. 27. 27.

7ulti-Vitamin-7ineral Supplement May have 20 to 30 nutrients

Serving Size 1 0ab"et A ount !er 0ab"et

&ita in 24 Fo"ate &ita in 212

1-+. 1++. 1-+.

7ulti-Vitamin-7ineral Supplement for Seniors

May have 20 to 30 nutrients

Serving Size 1 Cap"et 5n"/

ount !er Cap"et 3 g 4++ cg 2- cg

&ita in 24 Fo"ate &ita in 212

Vitamin B-12 Supplement

Serving Size 1 Cap"et 5n"/

ount !er Cap"et 16+++

122 16G )1G

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