Thiamine (Vitamin B1)


Thiamine, also called vitamin B1 or thiamin, is one of 8 B vitamins. It is found in many foods including yeast, cereal grains, beans, nuts, and meat. Thiamin helps the body's cells convert carbohydrates into energy. It is also essential for the functioning of the heart, muscles, and nervous system. Thiamine also help the body metabolize fats and protein, and is needed for healthy skin, hair, eyes, and liver. It also help the nervous system function properly, and is needed for good brain function.


Like other B complex vitamins, thiamine is sometimes called an "anti-stress" vitamin because it may strengthen the immune system and improve the body's ability to withstand stressful conditions. In fact, thiamine is so important to a healthy mental state, it has been called the "morale vitamin". It is named B1 because it was the first B vitamin discovered.


Like all B vitamins, thiamine is water-soluble, meaning that the body does not store them. After the body uses these vitamins, leftover amounts leave the body through the urine. That means you need a continuous supply of such vitamins in your diet.


Thiamine is found in both plants and animals and plays a crucial role in certain metabolic reactions. Your body needs it to form adenosine triphosphate (ATP), which every cell of the body uses for energy.


Uses


People take thiamine for conditions related to low levels of thiamine (thiamine deficiency syndromes), including beriberi and inflammation of the nerves outside the brain (peripheral neuritis) associated with pregnancy or with a vitamin-deficiency disease called pellagra.


Thiamine is also used for digestive problems including poor appetite, ulcerative colitis, and ongoing diarrhea.


Thiamine is also used for AIDS and boosting the immune system, diabetic pain, heart disease, alcoholism, aging, a type of brain damage called cerebellar syndrome, canker sores, vision problems such as cataracts and glaucoma, motion sickness, and improving athletic performance. Other uses include preventing cervical cancer and progression of kidney disease in patients with type 2 diabetes.


Some people use thiamine for maintaining a positive mental attitude; enhancing learning abilities; increasing energy; fighting stress; and preventing memory loss, including Alzheimer's disease.


Healthcare providers give thiamine shots for a memory disorder called Wernicke's encephalopathy syndrome, other thiamin


Thiamine Health Benefits


Thiamine helps in many important body functions and some of its benefits includes:



Specific Health Benefits

Beriberi

The most important use of thiamine is to treat beriberi, which is caused by not getting enough thiamine in your diet. Symptoms include swelling, tingling, or burning sensation in the hands and feet, confusion, trouble breathing because of fluid in the lungs, and uncontrolled eye movements called nystagmus. People in the developed world usually don't get beriberi because foods such as cereals and breads are fortified with vitamin B1.


Wernicke-Korsakoff syndrome

Wernicke-Korsakoff syndrome is a brain disorder caused by thiamine deficiency. Wernicke-Korsakoff is actually two disorders: Wernicke's disease involves damage to nerves in the central and peripheral nervous systems. It is often caused by malnutrition due to alcoholism. Korsakoff syndrome is characterized by memory problems and nerve damage. High doses of thiamine can improve muscle coordination and confusion, but rarely improves memory loss.


Cataracts

Preliminary evidence suggests that thiamine -- along with other nutrients -- may lower risk of developing cataracts. People with plenty of protein and vitamins A, B1, B2, and B3 or niacin in their diet are less likely to develop cataracts. Getting enough vitamins C, E, and B complex vitamins -- particularly B1, B2, B9 or folic acid, and B12 -- may further protect the lens of your eyes from developing cataracts. More research is needed.


Alzheimer's disease

Lack of thiamine can cause dementia in Wernicke-Korsakoff syndrome. So researchers have speculated that thiamine might help Alzheimer's disease. Scientific studies have not always shown any benefit from thiamine, however. More research is needed before thiamine can be proposed as a treatment for Alzheimer's disease.


Heart failure

Thiamine may be related to heart failure because many people with heart failure take diuretics (water pills), which help rid the body of excess fluid. But diuretics may also cause the body to get rid of too much thiamine. A few small studies suggest that taking thiamine supplements may help. A multivitamin, taken regularly, should provide enough thiamine.


Thiamine Deficiency


Thiamine deficiency (beriberi) results when your body does not have enough of the vitamin thiamine. Your body requires thiamine to help it break down different types of sugar. Without enough thiamine, you may experience a variety of symptoms that can be serious. Because many foods are supplemented with thiamine, thiamine deficiency is rare in the United States. However, thiamine deficiency is possible in some people with rare genetic conditions, in people who eat very unbalanced diets, in alcoholics, and in some people with kidney disease.


Thiamine Deficiency Symptoms

A lack or deficiency of thiamin can cause weakness, fatigue, psychosis, and nerve damage. It's rare to be deficient in thiamine, although alcoholics, people with Crohn's disease, anorexia, and those undergoing kidney dialysis may be deficient. Symptoms of thiamine deficiency are fatigue, irritability, depression and abdominal discomfort. People with thiamine deficiency also have trouble digesting carbohydrates. That allows a substance called pyruvic acid to build up in their bloodstream, causing a loss of mental alertness, difficulty breathing, and heart damage, a disease known as beriberi.


In severe thiamin deficiency, brain damage can occur. One type is called Korsakoff syndrome. The other is Wernicke's disease. Either or both of these conditions can occur in the same person.


Other symptoms of thiamine deficiency may include:



Thiamine Deficiency Causes

Thiamin deficiency in the United States is most often seen in people who abuse alcohol (alcoholism). A lot of alcohol makes it hard for the body to absorb thiamin from foods. Unless those with alcoholism receive higher-than-normal amounts of thiamin to make up for the difference, the body will not get enough of the substance. This can lead to a disease called beriberi.


Other causes of thiamine deficiency may include:



Thiamine Deficiency Treatment

The only treatment for thiamine deficiency is thiamine supplementation and changes to any underlying dietary habits that may have caused the deficiency (see "Thiamine Dosing"). Thiamine supplementation can be given orally or by injection, depending on the type and cause of thiamine deficiency you have.


If identified early and treated promptly, most symptoms associated with thiamine deficiency should resolve. People who have thiamine deficiency should receive long-term monitoring of their thiamine levels to ensure that the deficiency does not return.


Thiamine Dosing


The following doses have been studied in scientific research:


BY MOUTH:



BY INJECTION:



Daily recommendations for dietary vitamin B1 according to the National Academy of Sciences are listed below.


Pediatric



Adult



Doses for conditions like beriberi and Wernicke-Korsakoff syndrome are determined by a doctor. For Wernicke-Korsakoff syndrome, thiamine is given intravenously.


A daily dose of 50 - 100 mg is often taken as a supplement. Thiamine appears safe even these doses but you should talk to your doctor before taking a large amount.


Food Sources


Most foods contain small amounts of thiamine. Asparagus is an excellent source of thiamine. Very good sources of thiamine include crimini mushrooms, spinach, flaxseeds, tuna, green peas, and Brussels sprouts. Large amounts can also be found in pork and organ meats. Other good dietary sources of thiamine include whole-grain or enriched cereals and rice, legumes, wheat germ, bran, brewer's yeast, and blackstrap molasses.


Thiamin is also found in:



Dairy products, fruits, and vegetables are not very high in thiamin, but when eaten in large amounts, they become a significant source.


Available Forms


Vitamin B1 can be found in multivitamins (including children's chewable and liquid drops), B complex vitamins, or if can be sold individually. It is available in a variety of forms, including tablets, softgels, and lozenges. It may also be labeled as thiamine hydrochloride or thiamine mononitrate.


Do I Need Supplements?


Should you consider taking supplemental B1? Well, consider this: Foods containing thiamin lose a good deal of their nutritional value if they are refrigerated, and sulfites (preservatives added to prepared foods in restaurants) also destroy thiamin in food. If you are relying on convenience foods or trips to the salad bar to supply you with the RDA of thiamin, you should think of taking a vitamin B1 supplement.


Also, if you drink a lot of coffee or tea, you will benefit from supplementation, as caffeine drinks act as a diuretic; these beverages cause both water and water-soluble vitamins (such as thiamin) to be eliminated from the body more quickly.


Both smoking and alcohol consumption also interfere with thiamin absorption.


Furthermore, absorption of thiamin is entirely dependent upon getting enough vitamin B6, vitamin B12, and folic acid. For this reason, taking a well-balanced Vitamin B complex supplement makes perfect sense.


Thiamine Side Effects & Safety Precautions


Side Effects

Thiamine is generally safe. Very high doses may cause stomach upset.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.


Safety


Possible Interactions


If you are currently being treated with any of the following medications, you should not use vitamin B1 without first talking to your health care provider.


Digoxin -- Laboratory studies suggest that digoxin, a medication used to treat heart conditions, may reduce the ability of heart cells to absorb and use vitamin B1. This may be particularly true when digoxin is combined with furosemide (Lasix, a loop diuretic).


Diuretics (water pills) -- Diuretics, particularly furosemide (Lasix), which belongs to a class called loop diuretics, may reduce levels of vitamin B1 in the body. It's possible that other diuretics may have the same effect. If you take a diuretic, ask your doctor if you need a thiamine supplement.


Phenytoin (Dilantin) -- Some evidence suggests that some people taking phenytoin have lower levels of thiamine in their blood, and that may contribute to the side effects of the drug. However, that is not true of all people who take phenytoin. If you take phenytoin, ask your doctor if you need a thiamine supplement.


Thiamine Reviews


The following reviews have been selected:


------------------------------------------


5.0 out of 5 stars Great vitamin!, November 26, 2011

By

annaver (CA)

I feel very happy using this vitamin! Don't get me wrong, I'm not getting high or something, but this vitamin makes me feel more energized and refreshed than before. I tested myself going on this vitamin for 2weeks, off 2 weeks, on again... I'm more easy-going and not asking for a nap in the afternoon when I'm on my B-1. Easy to swallow, no bad after taste


------------------------------------------


4 of 4 people found the following review helpful

5.0 out of 5 stars Very good stuff, July 16, 2007

From Indiana

Little known fact that B-1 can successfully be used to greatly help anxiety and panic. Anxiety and panic has been shown to be caused by a sensitivity to lactic acid and B-1 does wonders at lowering lactic acid levels. But the key is to take mega doses of 1500mgs or more per day.


------------------------------------------


3 of 3 people found the following review helpful

5.0 out of 5 stars July 14, 2009

From New York

I have Hashimoto's i.e. hypothyroidism which is accompanied by low stomach acid. B1 helps with formation of stomach acid. I feel less tired since I've been taking B1 daily.


------------------------------------------


3 of 3 people found the following review helpful

5.0 out of 5 stars June 17, 2010

From Switzerland

For a week, I took ... B1 tablets in dosages of 1/2 tablet, i.e. 50 mg per day; I am now taking them in dosages of 1/4 tablet, i.e. 25 mgs per day for ankle edema and peripheral neuropathy in my feet related to thiamine deficiency. Correcting thiamine deficiency orally takes some weeks; however, both my edema and my foot pain are significantly improved. I will continue to take them long-term to avoid recurrence.


------------------------------------------


2 of 2 people found the following review helpful

5.0 out of 5 stars B1 taken with Benfotiamine (B1) works a treat !, December 11, 2010

From Great Britain

I take this B1 (water soluble) together more importantly, with Benfotiamine(fat soluble B1) for years and it really does work ! I am a type 2 diabetes sufferer with all the usual complications including kidney and nerve damage. I can definately say that it helps tremendously with my peripheral neuropathy. no more tingling, numbness, burning feeling with the hands and feet.Also read R&D university Reports that it may also help with diabetic kidney damage. I take 3xBenfotiamine and 2xB1 a day. It works for me !


------------------------------------------