Many People Are Deficient In This Essential Vitamin – And You’ve Probably Never Heard Of It

No matter how well-rounded you try to make your diet, sometimes certain nutrients fall through the cracks. This includes a vitamin responsible for many mental and physical health benefits that you may have never even heard of before: thiamine, or vitamin B1.

“Vitamin B1, or thiamine, is a water-soluble vitamin that plays a critical role in energy metabolism and nerve function, helping convert carbohydrates into usable energy for the body and brain,” Rachele Pojednic, chief science officer at RestoreLabs and director of education at Stanford Lifestyle Medicine, told HuffPost.

This important vitamin “helps the body convert carbohydrates into energy and supports cognitive and neuromuscular health,” according to Dr. Eve Elizabeth K. Pennie, a general practitioner, clinical research professional and medical expert.

According to a September 2021 review in the journal Cells, different patient populations across various studies have shown rates of thiamine deficiency ranging from 20% to over 90%. This review speculates that a modern lifestyle is to blame, with certain habits and medications hindering thiamine absorption.

Given how critical thiamine is for our bodies and brains, it seems like more people would be talking about it. Yet it is often overlooked in favour of more popular vitamins, like vitamin B12, vitamin D, magnesium, probiotics and iron.

Still, that doesn’t make thiamine any less important. And if you don’t have enough of it, your body will let you know.

HuffPost spoke to experts to learn more about the importance of this nutrient, the signs you may be deficient and how to get more of it.

What are the signs you might be deficient in vitamin B1?

A thiamine deficiency can cause physical and mental symptoms that affect your day-to-day life.

“Early signs of deficiency can include fatigue, irritability, poor concentration, muscle weakness, and in more advanced cases, neurological symptoms like numbness or blurred vision,” Pojednic explained.

Irritability, difficulty with short-term memory, loss of appetite and nausea are also signs you aren’t getting enough of this essential vitamin. The problem is that these symptoms could also be side effects of many other health problems, so a thiamine deficiency might be the last thing you expect.

Pennie said the dangers come when your vitamin B1 deficiency continues. “As it worsens, symptoms can include numbness or tingling, muscle weakness, difficulty walking, and, in severe cases, neurologic conditions, like Wernicke encephalopathy (WE) with confusion and vision changes,” she explained.

WE is a rare neurologic disorder caused by thiamine deficiency that must be promptly treated to prevent permanent neurological damage. It’s important to see a doctor if you believe you have a thiamine deficiency or any of the symptoms of WE.

Thiamine, or vitamin B1, is found in foods like salmon, lentils, whole grain breads and more.

fcafotodigital via Getty Images

Thiamine, or vitamin B1, is found in foods like salmon, lentils, whole grain breads and more.

Certain populations are more prone to thiamine deficiencies

“Deficiency is common in certain groups because thiamine stores are limited and easily depleted,” Pennie explained.

For example, if you tend to have a diet high in processed carbohydrates or have experienced chronic alcohol misuse, malnutrition, gastrointestinal disorders or bariatric surgery, you have an increased risk for thiamine deficiency.

“Increased metabolic demand, such as illness or pregnancy, can also contribute,” she added.

In addition to the factors mentioned above, Pojednic said that people with diabetes and older adults may also be at higher risk for a thiamine deficiency. Using diuretics and other types of medication can slow absorption and increase your risk of deficiency as well.

The good news is that a severe thiamine deficiency is rare in developed countries, according to Pojednic. She credits food fortification for providing the necessary daily thiamine for most people.

Can you have too much thiamine?

Don’t worry about overdoing your thiamine intake.

“It’s very rare to have too much thiamine since excess is typically excreted in urine, and toxicity is uncommon even with supplementation,” Pojednic said. “The bigger issue for most people isn’t excess but ensuring consistent intake.”

Pennie warned that it’s crucial to catch a potential deficiency before it’s too late. “Early recognition is important because an untreated deficiency can lead to serious but often preventable complications,” she said.

How to increase your vitamin B1 intake:

Depending on your age and sex, the amount of thiamine you need varies. The National Institutes of Health recommends that adult men get 1.2 mg and women get 1.1 mg per day.

Pojednic said foods that are high in thiamine include “lentils, pork, whole grain (fortified) breads and cereals, trout or salmon.”

If you’re extra tired, part of a high-risk group or don’t have a diet rich in different nutrients, it may be worth talking to your doctor about a possible thiamine deficiency. Catching up on this nutrient can have a significant impact on your body and brain.

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Is It Healthy To Eat The Same Thing Every Day? Even If It’s Nutritious?

Sometimes, eating the same thing every day, especially if it’s nutritious, seems like a good idea. Having something like egg whites, yogurt and toast for breakfast, and chicken, broccoli and rice for dinner helps with meal preparation and simplifies one’s life.

It can also aid in maintaining energy levels. For example, an athlete friend of mine eats the same thing every day at the exact same time (3:30 p.m.) to “secure his energy levels.” Two hours before his workout, he eats chicken, rice and rice cakes. Eating the same thing guarantees his energy, and eating two hours before working out allows him to digest the food. He also typically eats the same food for breakfast every day.

But getting stuck in a steadfast routine can have some drawbacks. Is this type of eating regimen healthy enough?

There’s a fine line to be aware of.

While it can be common to eat the same foods every day, there can be a point when it turns into something of more concern. Katherine Metzelaar, a Seattle-based dietitian and certified intuitive eating counsellor, explained if someone’s eating the same foods every day, they might have an eating disorder called avoidant/restrictive food intake disorder, or ARFID.

“My first thought is, ‘Why is someone doing that?’” Austin-based dietitian, nutrition therapist, and body image healer Emily Van Eck told HuffPost. “If someone is doing that, I would wonder why, because they could be overly fixating on something.”

Even if someone is neurodivergent and needs to eat the same foods all the time, Metzelaar encourages variety. Plus, consuming the same foods every day could lead to nutrient deficiencies and poor gut health. Metzelaar said that could include bloating and constipation.

“Humans don’t benefit from having the same exact thing every single day,” she said. “Human bodies really benefit from having a variety of different kinds of foods throughout the day, throughout the week, over time.”

Variety is generally best.

Van Eck also said choosing an assortment of foods works best. “I think a variety is best, as in trying to eat different types of grains, different types of vegetables, and different types of protein over the course of a month,” Van Eck said. “I don’t think we need to micromanage the variety of our diet but generally change it up. That also helps with enjoyment and satisfaction. You will get bored eating the same thing every day. It’s beneficial to practice variety because that way when you get sick of something, you have other things you know you like.”

She suggests eating vegetables because they contain valuable fibre, vitamins, phytonutrients and antioxidants, which lower cholesterol and blood pressure and help in disease prevention.

“If your everyday meal includes a lot of variety, just in that one day you’re going to be getting a lot more nutrients than if you’re just eating egg and toast for breakfast, a turkey sandwich, and beef and rice for dinner,” Van Eck said. “You’re not going to be getting lots of vitamins and minerals, so it really depends on what you’re eating.”

Meal prepping something healthy for a week is fine, just as long as it's not the same exact food every week.

Westend61 via Getty Images

Meal prepping something healthy for a week is fine, just as long as it’s not the same exact food every week.

However, according to Van Eck, it’s OK to meal prep a batch of chicken and rice and broccoli for a week as long as you switch it up the following week or so. “That’s a good way to streamline,” she said.

Long term, not eating a well-balanced diet can affect a person’s mental wellness and social life.

Limiting one’s food options “can increase anxiety around food,” Metzelaar said. “Food is such a pleasurable, joyful part of life, so it can impact people’s mental health as well. We gather with food. We celebrate with food.”

Another concern about eating the same thing is that it can result in intense cravings, or a fixation on the foods you aren’t eating. Metzelaar cited fitness competitors who go on strict diets, saying, “They start to notice cravings for other foods and that can show up in all kinds of ways like in sweets or certain dishes, and a lot of food taking up a lot of headspace for them, dreaming about food, waking up in the middle of the night craving food.”

The bottom line is, eating a mixture of foods and obtaining enough nutrients every day is ideal for a healthy lifestyle.

“Not overthinking our food choices is important, and over-stressing about food doesn’t necessarily do any good,” Van Eck said. “We don’t need to be perfect eaters. If you want to improve your diet, if you’re looking at the things you’re eating and you’re like, ‘Man, I’m not really getting any vegetables,’ or ‘I am not getting enough protein,’ or ‘My blood sugar is kind of out of whack’ or whatever, you can take small steps to improve that. But overhauling everything in your diet is never the answer.”

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