Vitamin B1 (Thiamine) in Whole Blood icon

Vitamin B1 (Thiamine) in Whole Blood

What is Vitamin B1 (Thiamine) in Whole Blood?

Vitamin B1, also known as thiamine, is an essential nutrient that plays a crucial role in energy metabolism, particularly in the conversion of carbohydrates into glucose, which the body uses for energy. It is also vital for the proper functioning of the heart, muscles, and nervous system. Adequate levels of vitamin B1 are essential for maintaining energy levels, cognitive function, and overall cellular health. The body does not store large amounts of thiamine, so regular intake through diet or supplements is necessary. Thiamine absorption and utilization can be influenced by dietary factors: chronic alcohol consumption impairs absorption, magnesium deficiency affects its activation, and high carbohydrate diets increase thiamine demand.

Deficiency in vitamin B1 can lead to several health issues. Mild deficiency might cause symptoms like fatigue, irritability, reduced reflexes, and poor memory. Severe or prolonged deficiency can lead to beriberi, a serious condition that affects the heart and nervous system. There are two main types of beriberi: wet beriberi, which affects the cardiovascular system resulting in heart failure, and dry beriberi, affecting the nervous system leading to muscle weakness and neuropathy. Wernicke-Korsakoff syndrome, another severe form of thiamine deficiency, is commonly associated with chronic alcoholism and can cause mental confusion, coordination problems, eye movement disturbances, and memory issues. Tannins in tea and coffee might interfere with its absorption, and sulfites in food preservatives can destroy thiamine.

Vitamin B1 toxicity is extremely rare, as it is water-soluble, and excess amounts are excreted in urine. Even at high doses, thiamine is generally considered safe. However, excessive intake through supplements might cause mild side effects like nausea or irritability. For most people, managing vitamin B1 levels involves dietary intake of thiamine-rich foods such as whole grains, meat, nuts, and legumes, or supplementation in cases of deficiency risk, like chronic alcoholism or certain medical conditions.

To maintain healthy Vitamin B1 (Thiamine) levels:

  • Consume a balanced diet that includes thiamine-rich foods such as whole grains, lean meats, fish, nuts, legumes, and fortified foods.

  • Be mindful of potential interactions with dietary factors. For example, limit excessive consumption of tea and coffee, as tannins in these beverages can interfere with thiamine absorption. Also, be aware that sulfites used as food preservatives can destroy thiamine.

  • Ensure adequate intake of other nutrients that influence thiamine utilization, such as magnesium, through a balanced diet or supplementation if necessary.

  • If you suspect you have a thiamine deficiency or experience symptoms like fatigue, irritability, or poor memory, consult your healthcare provider for proper diagnosis and treatment.

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Measurement Units

Vitamin B1 (Thiamine) in Whole Blood can be measured in: nmol/L, pg/mL, µg/100mL, µg/dL, µg/L, µg%

Reference Ranges by Age and Gender

Reference ranges represent typical values for healthy individuals. Your healthcare provider must interpret your specific results.

Age Range Gender Unit Optimal Normal Source
All ages All genders nmol/L - 90 - 140 Rifai, 2023

Health Impact

Mood Regulation​

Vitamin B1 is important for brain function and energy metabolism. A deficiency can lead to mood disturbances and cognitive dysfunction, including symptoms like irritability and depression. Thiamine plays a critical role in nerve function and the synthesis of molecules that regulate mood. It's also essential for glucose metabolism, a key energy source for the brain.[Carney, 1979][Zhang, 2013][Ghaleiha, 2016]

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Academic References

  1. Lonsdale D. Thiamine and magnesium deficiencies: keys to disease (2015). Med Hypotheses. DOI: 10.1016/j.mehy.2014.12.004
  2. Burnham C.-A. D., Chiu R. W. K., Rifai N., Wittwer C., and Young I.. Tietz Textbook of Laboratory Medicine (2023). Tietz Textbook of Laboratory Medicine.
  3. Luong KV and Nguyen LT. The impact of thiamine treatment in the diabetes mellitus (2012). J Clin Med Res. DOI: 10.4021/jocmr890w
  4. Carney MW, Sheffield BF, and Williams DG. Thiamine and pyridoxine lack newly-admitted psychiatric patients (1979). Br J Psychiatry. DOI: 10.1192/bjp.135.3.249
  5. Rifai N.. Tietz Textbook of Laboratory Medicine (2023). Elsevier.
  6. Cirio RT, Elder J, Fonzetti P, Gibson GE, Hirsch JA, and Jordan BD. Vitamin B1 (thiamine) and dementia (2016). Ann N Y Acad Sci. DOI: 10.1111/nyas.13031
  7. Burnham C.-A. D., Chiu R. W. K., Rifai N., Wittwer C., and Young I.. Tietz Textbook of Laboratory Medicine (2023). Tietz Textbook of Laboratory Medicine.
  8. Chen H, Ding H, Ke Z, Li H, Lin X, Ye X, and Zhang G. Thiamine nutritional status and depressive symptoms are inversely associated among older Chinese adults (2013). J Nutr. DOI: 10.3945/jn.112.167007
  9. Alaei Shahmiri F, Sherriff J, Soares MJ, and Zhao Y. High-dose thiamine supplementation improves glucose tolerance in hyperglycemic individuals: a randomized double-blind cross-over trial (2013). Eur J Nutr. DOI: 10.1007/s00394-013-0534-6
  10. Ali S, Barker NC, Freeman C, Jabeen S, Maitra S, and Osiezagha K. Thiamine Deficiency and Delirium (2013). Innov Clin Neurosci. View Source
  11. Ahmadpanah M, Bajoghli H, Brand S, Davari H, Ghaleiha A, Haghighi M, Holsboer-Trachsler E, Jahangard L, and Seifrabie MA. Adjuvant thiamine improved standard treatment in patients with major depressive disorder: results from a randomized double-blind and placebo-controlled clinical trial (2016). Eur Arch Psychiatry Clin Neurosci. DOI: 10.1007/s00406-016-0685-6
  12. Meamar R., Rad M.G., and Sharifi M.. The role of pancreas to improve hyperglycemia in STZ-induced diabetic rats by thiamine disulfide (2022). NutrDiabetes. DOI: 10.1038/s41387-022-00211-5
  13. Godber IM, Maguire D, and Peake RW. The effect of magnesium administration on erythrocyte transketolase activity in alcoholic patients treated with thiamine (2013). Scott Med J. DOI: 10.1177/0036933013496944

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