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Riboflavin Deficiency - Causes, Symptoms, and Management

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Riboflavin is a water-soluble vitamin that the body uses to absorb carbohydrates, fats, and protein into glucose for stamina. Read this article to know more.

Written by

Dr. Afsha Mirza

Medically reviewed by

Dr. Kaushal Bhavsar

Published At November 15, 2023
Reviewed AtNovember 15, 2023

Introduction:

Riboflavin, vitamin B2, is a heat-stable, water-soluble vitamin that the body utilizes to metabolize carbohydrates, fats, and protein into glucose for energy. In complement to increasing energy, this vitamin is an antioxidant for adequately operating the immune system and nourishing skin and hair. These results happen with the support of two coenzymes, flavin mononucleotide and flavin adenine dinucleotide. Without a sufficient quantity of riboflavin, macronutrients like carbohydrates, fats, and proteins cannot be digested and support the body. With a nourishing digestive system, the body can absorb most of the nutrients from food, so it is necessary to obtain most of the riboflavin from food sources. Riboflavin has a yellow-green pigment, which induces urine to turn yellow, suggesting the body is soaking riboflavin. Riboflavin also supports transforming tryptophan to niacin, which triggers vitamin B6 (pyridoxine). Some preventable conditions manageable with sufficient riboflavin are anemia (a disorder in which the blood does not contain sufficient healthy red blood cells), cataracts (cloudy lens), migraines (a headache of changing intensity, usually accompanied by sickness and sensitiveness to light and sound), and thyroid dysfunction. In riboflavin insufficiency, macronutrients like fats, carbohydrates, and proteins are not digested to support the body. Riboflavin is necessary for normal growth, lactation, physical performance, and reproduction.

What Is Riboflavin?

Vitamin B2, or riboflavin, is one of eight B vitamins important for human health. It can be discovered in cereals, plants, and dairy by-products. It is important to break down food ingredients, absorb different nutrients, and sustain and maintain tissues. Riboflavin is a water-soluble vitamin, so it liquefies in water. All vitamins are either water-soluble or fat-soluble. Water-soluble vitamins are taken via the bloodstream, and whatever is not required passes out of the body in urine. Individuals must consume riboflavin daily because the body can only reserve small quantities, and supplies go down quickly. Riboflavin appears naturally in some foods, is added to others, and can be accepted as a supplement. Many of it is absorbed in the small intestine.

What Is the Cause of Riboflavin Deficiency?

Riboflavin insufficiency can be caused by insufficient dietary intake or by endocrine irregularities. Riboflavin depletion is also associated with other vitamin B complexes. Riboflavin naturally appears in food such as eggs, dairy by-products, meats, green vegetables, and cereals. The primary antioxidant, riboflavin, functions as glutathione. Glutathione operates to eliminate free radicals and detox the liver, as free radicals can generate to produce several disorders. Riboflavin insufficiency can also result from long-term diarrhea, liver disease, alcoholism, and hemodialysis (a method of filtering the blood of an individual whose kidneys are not functioning naturally). Riboflavin helps transform carbohydrates into adenosine triphosphate (ATP). The human body makes ATP from meals, and ATP creates energy as the body needs it. The compound ATP is necessary for keeping energy in muscles.

Vitamin B is important for the following:

  • Preserving the mucous membranes in the digestive system.

  • Preserving a healthy liver.

  • Transforming tryptophan into niacin, an amino acid.

  • Maintaining the eyes, nerves, muscles, and skin nourishing.

  • Absorbing and triggering iron, folic acid, and other vitamins.

  • Hormone production by the gland.

  • Controlling the growth of cataracts (clouding in eye lens).

  • Fetal growth, particularly in regions where vitamin insufficiency is familiar.

  • In youngsters with autism (a severe developmental condition that damages the capacity to speak and interact), supplements of vitamins B2 and magnesium seem to lower the levels of irregular organic acids in the urine.

What Are the Signs and Symptoms of Riboflavin Deficiency?

There are two types of riboflavin depletion:

  • Primary riboflavin insufficiency occurs when the individual’s diet is deficient in vitamin B2.

  • Secondary riboflavin deficiency occurs for another cause, maybe because the intestines cannot soak the vitamin adequately, the body cannot utilize it, or because it is passed too quickly.

Riboflavin insufficiency is also known as ariboflavinosis. Signs and symptoms of deficiency are as follows:

  1. Cracks at the junctions of the mouth.

  2. Broken lips.

  3. Dehydrated skin.

  4. Inflammation of the lining of the jaws.

  5. Inflammation of the tongue.

  6. Ulcers.

  7. Inflammed lips.

  8. Sore throat.

  9. Scrotal dermatitis (genital itching).

  10. Fluid accumulation in mucous membranes.

  11. Iron deficiency anemia (blood lacks sufficient healthy red blood cells).

  12. Eyes may be sensitive to shining light and scratchy, moist, or bloodshot.

What Is the Consequence of Extreme Riboflavin Deficiency?

Extreme riboflavin depletion can reduce levels of FAD (flavin adenine dinucleotide)and FMN (flavin mononucleotide) and impact the metabolism of different nutrients, particularly other B vitamins. Riboflavin is eliminated from the body, while just 15 percent is absorbed. Carbohydrates obtained from meals transform into adenosine triphosphate, which is then utilized to create energy in the body. It is important to consume riboflavin daily with meals or supplements. Most riboflavin is soaked in the small intestine, and extra washes out of the body as urine. Urinary excretion can also diminish with age and tension. Hydrolysis of flavin adenine dinucleotide and flavin mononucleotide to riboflavin accomplished in the upper intestine for dietary riboflavin absorption. People who eat healthy diets may not require supplements; thus, they must consume meals rich in B vitamins and others. Furthermore, meals supply better absorption of riboflavin when compared to complements.

How to Diagnose Riboflavin Deficiency?

A medicinal trial proved riboflavin insufficiency by calculating the speed of urinary excretion of riboflavin. Urinary excretion boosts when consuming riboflavin complements. If urinary riboflavin excretion is lower than 40 micrograms daily, riboflavin insufficiency can happen. Calculating erythrocyte glutathione reductase can help detect riboflavin depletion. When the enzyme activity coefficient with flavin adenine dinucleotide is 1.4, it suggests riboflavin deficiency.

How to Manage Riboflavin Deficiency?

Riboflavin supplements are available in pills of 25 milligrams, 50 milligrams, and 100 milligrams. The suggested everyday nutrient consumption of riboflavin is 1.3 milligrams for males, 1.1 milligrams for females, 1.3 milligrams for males (age 14 to 18), and 1.0 milligrams for females (age 14 to 18). Suggestions are that pregnant ladies take 1.4 milligrams and breastfeeding females take 1.6 milligrams. For newborns aged 0 to 6 months old is 0.3 milligrams. 7 to 12 months is 0.4 milligrams, 1 to 3 years old is 0.5 milligrams, 4 to 8 years old is 0.6 milligrams, and 9 to 13 years is 0.9 milligrams. It is significant to consume riboflavin supplements with food because absorption levels grow with meals. If oral supplementation is not feasible, then injections are an alternative.

Conclusion:

The most useful method to control deficiency is to familiarize the patient with a nutritious diet. The doctor, nurse, druggist, and dietitian, functioning cohesively as a team, should motivate patients daily about consuming fruits and vegetables. Also, most grains are reinforced with multivitamins. These domains require communication across borders to guide patient results optimally. The druggist can show supplementary dosing along with the dietician, who can observe dietary sources and suggest riboflavin-rich meals. The druggist can suggest certain supplements, and the nurse can follow restorative improvement on visits before the doctor observes the patient, charting all relevant data about differences in status. All this happens under the direction of the doctor who handles the case. Empirically suggesting vitamins for everyone is not advised, which is why a team strategy is more advantageous to patient results.

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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