Vitamin B1

What does it do? Vitamin B1 is needed to process carbohydrates, fat, and protein. Every cell of the body requires vitamin B1 to form the fuel the body runs on—ATP. Nerve cells require vitamin B1 in order to function normally.

Vitamin B1 has been used in connection with the following conditions (refer to the individual health concern for complete information):

Rating	Health Concerns
	Anemia (for genetic thiamine-responsive anemia)
	Alzheimer’s disease Canker sores Childhood intelligence (for deficiency) Diabetes Dialysis (for encephalopathy and neurologic damage; take only under medical supervision) Hepatitis Low back pain (in combination with vitamin B6 and vitamin B12)
	Cardiomyopathy (only for wet beri beri) Dysmenorrhea (painful menstruation) Fibromyalgia HIV support Multiple sclerosis Pre- and post-surgery health
Reliable and relatively consistent scientific data showing a substantial health benefit. Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit. An herb is primarily supported by traditional use, or the herb or supplement has little scientific support and/or minimal health benefit.

Who is likely to be deficient? A decline in vitamin B1 levels occurs with age, irrespective of medical condition.¹ Deficiency is most commonly found in alcoholics, people with malabsorption conditions, and those eating a very poor diet. It is also common in children with congenital heart disease.² People with chronic fatigue syndrome may also be deficient in vitamin B1.³ ⁴ Individuals undergoing regular kidney dialysis may develop severe vitamin B1 deficiency, which can result in potentially fatal complications.⁵ Persons receiving dialysis should discuss the need for vitamin B1 supplementation with their physician.

How much is usually taken? While the ideal intake is uncertain, one study reported the healthiest people consumed more than 9 mg per day.⁶ The amount found in many multivitamin supplements (20–25 mg) is more than adequate for most people.

Can I take too much? Vitamin B1 is nontoxic, even in very high amounts.

Are there any interactions with other nutrients? Vitamin B1 works hand in hand with vitamin B2 and vitamin B3. Therefore, nutritionists usually suggest that vitamin B1 be taken as part of a B-complex vitamin or other multivitamin supplement.

Are there any drug interactions? Certain medications may interact with vitamin B1. Refer to the drug interactions safety check for a list of those medications.

References:

1. Wilkinson TJ, Hanger HC, George PM, Sainsbury R. Is thiamine deficiency in elderly people related to age or co-morbidity? Age Ageing 2000;29:111–6.

2. Shamir R, Dagan O, Abramovitch D, et al. Thiamine deficiency in children with congenital heart disease before and after corrective surgery. JPEN J Parenter Enteral Nutr 2000;24:154–8.

3. Heap LC, Peters TJ, Wessely S. Vitamin B status in patients with chronic fatigue syndrome. J R Soc Med 1999;92:183–5.

4. Grant JE, Veldee MS, Buchwald D. Analysis of dietary intake and selected nutrient concentrations in patients with chronic fatigue syndrome. J Am Diet Assoc 1996;96:383–6.

5. Hung SC, Hung SH, Tarng DC, et al. Thiamine deficiency and unexplained encephalopathy in hemodialysis and peritoneal dialysis patients. Am J Kidney Dis 2001;38:941–7.

6. Cheraskin E, Ringsdorf WM, Medford FH, Hicks BS. The “ideal” daily vitamin B1 intake. J Oral Med 1978; 33:77–9.

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The information presented in Healthnotes is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires December 2003.