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What do the eight B vitamins do?
"Vitamin B" does not exist in the singular. The B group brings together eight distinct vitamins, unrelated chemically, united by a common history: it was believed that a single water-soluble factor had been isolated before it was understood that it contained several. They share two practical properties: water-soluble, thus poorly stored and eliminated through urine, they almost all act as coenzymes in energy production.
Each carries its own European-authorized health claims, with wording regulated to the word, usable as soon as the product is a "source of" the vitamin concerned, meaning 15% of its nutritional reference value per serving.
- B1, thiamine (NRV 1.1 mg) — coenzyme in carbohydrate metabolism. "Thiamine contributes to normal energy-yielding metabolism."
- B2, riboflavin (NRV 1.4 mg) — FAD precursor, electron carrier. "Riboflavin contributes to normal iron metabolism."
- B3, niacin (NRV 16 mg) — NAD precursor, present in hundreds of reactions. "Niacin contributes to the reduction of tiredness and fatigue."
- B5, pantothenic acid (NRV 6 mg) — component of coenzyme A. "Pantothenic acid contributes to normal mental performance."
- B6, pyridoxine (NRV 1.4 mg) — coenzyme in amino acid metabolism. "Vitamin B6 contributes to normal protein and glycogen metabolism."
- B8, biotin (NRV 50 µg) — coenzyme of carboxylases. "Biotin contributes to the maintenance of normal hair."
- B9, folate (NRV 200 µg) — one-carbon group transfer, DNA synthesis. "Folate has a role in the process of cell division."
- B12, cobalamin (NRV 2.5 µg) — coenzyme for only two, but critical, reactions. "Vitamin B12 contributes to normal red blood cell formation."
Six of them — B2, B3, B5, B6, B9, and B12 — also carry the claim "contributes to the reduction of tiredness and fatigue." It means what it says: a contribution, for those who are deficient. It does not make a B complex a stimulant.
Why are they sold as a complex rather than individually?
Three reasons, only two of which are good.
Biochemistry first: these vitamins work in series on the same pathways. Pyruvate from carbohydrates needs B1, B2, B3, and B5 to be oxidized; homocysteine metabolism jointly mobilizes B6, B9, and B12. Providing one without the others only makes sense if a precise point is targeted.
Food sources then: they largely overlap. Offal, meats, eggs, dairy products, legumes, whole grains, green vegetables, and yeasts cover the group fairly homogeneously. A diet poor in one B vitamin is often poor in several — the major exception being B12.
The third reason is commercial: a complex sells better than a single capsule. A "B complex" at 500 or 1000% of NRVs offers nothing more than a reasonable dosage if your intake is adequate, as the excess water-soluble portion is excreted in the urine. The useful benchmark is not the percentage but the adequacy with what you are already taking: many multivitamins cover the entire B group, and combining the two is wasteful.
Why is B12 not optional in a vegan diet?
This is the only case in this entire catalog where we state that supplementation is necessary and not merely useful.
B12 is synthesized only by bacteria. It is found in animal products because these bacteria live in the digestive tract of ruminants, or because the animal has consumed it. No plant contains it in an active form: neither legumes, grains, vegetables, nor any fruit. A strict vegan diet therefore ultimately leads to zero intake.
Two misleading ideas circulate. Spirulina and several algae show "B12" contents that mainly correspond to inactive analogues: these molecules resemble B12 without having its activity and can occupy the same transporters. Spirulina is interesting for other reasons, but it is not a source of B12. Plant proteins, unenriched nutritional yeast, and fermented foods are also not reliable sources.
Key implementation point: B12 absorption is saturable. Active transport, which depends on intrinsic factor secreted by the stomach, only handles a very small amount per intake; the rest only passes through passive diffusion, at about 1% of the dose. Hence, supplements are dosed well above the NRV of 2.5 µg, and weekly high-dose intake is common. The precise regimen—dose, frequency, biological control—should be decided with a doctor.
Methylcobalamin, methylfolate, P5P: Are active forms worth their price?
The commercial argument is always the same: the form sold would be "already active," hence superior to what the body must convert. What can be said honestly:
Methylcobalamin versus cyanocobalamin. Cyanocobalamin is the most stable and well-documented; the body detaches the cyanide group from it, in negligible quantity, and converts it into active forms—including methylcobalamin. The latter is perfectly valid but less stable to light, and no European claim distinguishes it: both carry the same wording.
Methylfolate versus folic acid. Same logic: 5-methyltetrahydrofolate is the circulating form; folic acid must be reduced then methylated, a conversion that MTHFR gene variants slow down in a portion of the population. Methylfolate is a good choice, but folic acid carries most of the available data.
P5P versus pyridoxine. Pyridoxal 5-phosphate (P5P) is the coenzymatic form of B6. A rarely mentioned detail: ingested P5P is in any case dephosphorylated in the intestine before being absorbed, then rephosphorylated in the liver. The theoretical advantage is therefore thinner than advertised, except in specific situations requiring a doctor's advice.
Active forms are therefore not an empty argument, but neither are they the revolution that the price suggests: they do not render classic forms ineffective.
What dose, and what are the safety limits?
Water solubility reassuringly misleads. Three B vitamins have a European upper safety limit, and these are precisely the ones often overdosed in high-percentage complexes.
Vitamin B6 is the most monitored: the European safety limit has been revised downwards and is set at 12 mg per day for adults, from all sources combined. High and prolonged intake of B6 is associated with peripheral nerve damage. However, many B complexes display 25 mg or 50 mg of B6 without any justification — and ZMA formulas also contain it.
Niacin comes in two forms: nicotinic acid, whose limit is very low due to the flushing it causes, and nicotinamide, which is much better tolerated and by far the most commonly used. The mention of the form on the label is therefore important.
Folic acid has a limit set at 1,000 µg per day for adults. High intake can mask a B12 deficiency biologically, which is a serious reason not to stack sources.
Medical advice is essential before any supplementation during pregnancy or breastfeeding — recommendations on folate around conception are precise and fall under the purview of a healthcare professional — for children and adolescents, in cases of kidney failure, during long-term treatment, or in cases of chronic illness.
Frequently Asked Questions
What are B vitamins?
Eight distinct vitamins, chemically unrelated, grouped under the same letter by historical accident: it was long believed that a single water-soluble factor had been isolated before it was discovered that it contained several, hence the gapped numbering we know — B1, B2, B3, B5, B6, B8, B9, B12. They have only two things in common. They are water-soluble, therefore poorly stored and eliminated through urine, requiring regular intake. And almost all act as coenzymes: they provide no energy themselves; they enable enzymes to extract energy from food. This is why a B complex is not a stimulant.
What is the role of B vitamins?
Three main roles, distributed differently depending on the vitamin. First, energy metabolism: B1, B2, B3, and B5 enable the oxidation of carbohydrates, fats, and proteins to produce ATP. Second, DNA synthesis and repair, carried out by folates (B9) and B12, which explains their importance in cell division and red blood cell formation. Finally, the functioning of the nervous system, where B6 is involved in the production of several neurotransmitters and B12 in the maintenance of the myelin sheath. Additionally, B6 plays a role in protein metabolism, particularly stressed in athletes with high protein intake.
How to take a B vitamin complex?
Once a day, with a meal and preferably in the morning or at noon. Taking it with a meal reduces nausea that some formulas cause on an empty stomach; taking it in the morning avoids sleep disturbances reported by some people with highly dosed complexes. Three practical points are more important than the timing. Add up your sources: if you already take a multivitamin or ZMA, a B complex is redundant and increases B6 intake. Check the B6 dose, the only truly sensitive line of a complex. And don't rely on percentages: 1000% of NRVs doesn't make it ten times better, the excess water-soluble portion is excreted in the urine.
Why does urine become bright yellow?
It's riboflavin, vitamin B2: a fluorescent yellow pigment, hence its old name lactoflavin. The unused excess is filtered by the kidneys and colors the urine within a few hours. The phenomenon is harmless and does not indicate a problem or good assimilation: it signals that the dose exceeded what your body could use. Persistent discoloration without supplement intake, however, should be reported to a doctor.
What are the symptoms of a B vitamin deficiency?
First, it must be said why the question is poorly phrased: the eight B vitamins have different roles, and a lack of B1 is not like a lack of B12. Furthermore, proven deficiencies have become rare in France, except in specific situations — vegan diet without supplementation, chronic alcoholism, malabsorption, digestive surgery, malnutrition. The manifestations described in medical literature are severe and specific: anemia and neurological disorders for B12 and folate, nerve damage for B1, skin and mucous membrane lesions for B2 and B3. Vague symptoms often invoked online — fatigue, low mood, dull hair — do not allow for any conclusions: they are shared with dozens of other situations. Doubt is raised by a blood test prescribed by a doctor, not by a purchase.
In which foods are B vitamins found?
Offal and liver cover almost the entire group. Then come meats, fish, eggs and dairy products for B2, B3, B6 and B12; legumes, whole grains and seeds for B1, B6 and B9; leafy green vegetables for folate, whose name comes from the Latin folium, the leaf; brewer's yeast for the entire group except B12.
Which fruit is richest in vitamin B12?
None, and that's the complete answer: B12 is bacterial in origin and is not present in any fruit or vegetable. The richest foods are liver, offal, shellfish and fish, then meat, eggs, and dairy products. For folate (B9), however, citrus fruits, leafy green vegetables, and legumes are good sources.
What are the reasons for a vitamin B12 deficiency?
Two very different mechanisms, which do not call for the same response. The first is insufficient intake: a vegan diet without supplementation, or a diet very low in animal products — this is the only situation where an over-the-counter supplement directly addresses the problem. The second is defective absorption, and it is medical: B12 needs gastric acid to be released from food proteins, then intrinsic factor secreted by the stomach to be absorbed in the ileum. Anything that disrupts this chain causes it to drop: age, which reduces gastric secretion, certain long-term treatments, stomach or intestinal surgeries, inflammatory bowel diseases, and pernicious anemia. In this second case, increasing dietary intake does not solve anything: a blood test and a doctor are needed.
How to detect a vitamin B12 deficiency?
By a blood test prescribed and interpreted by a doctor, and by nothing else. Serum B12 levels are the first test, but they are imperfect: a "borderline" level has no clear meaning, and the doctor may request additional markers — homocysteine, methylmalonic acid — as well as a blood count. Two pitfalls are worth knowing. A high intake of folic acid can correct anemia while allowing neurological damage to progress, which masks the problem. And starting to supplement before testing skews the result: if you suspect a deficiency, get tested first. No symptom, no self-test, and no web page can replace this approach.
How to raise B12 levels?
This question is for a doctor, not a dietary supplement: depending on the cause, high-dose oral and injectable routes do not have the same place, and biological monitoring is part of the treatment. A general public supplement ensures intake for a healthy person; it does not correct a diagnosed anomaly.
How long does a course of B vitamins last?
One to three months is the common duration for a complex, to be reconsidered afterwards. The case of B12 in a vegan diet is different: it is not a course but a permanent intake, as long as the diet continues.
Do B vitamins affect hair?
Only one claim allows this, that of biotin: "Biotin contributes to the maintenance of normal hair," from 7.5 µg per serving. It concerns the maintenance of normal function, not regrowth or density, and does not concern any scalp conditions. A little-known point: high-dose biotin intake can skew certain blood test results—report it before a blood test.
Should I take more after 50?
The relevant question at this age concerns B12, whose absorption from food becomes less efficient, and not the entire group. This is a point to discuss during a check-up, along with vitamin D — not a reason to proactively increase an already highly dosed B6 complex.
What brands are found in this section?
We prioritize labels that name the form of each vitamin rather than those that stack percentages. IO.Genix covers both needs of the section: a complete B complex, and a vegan 1,000 µg sustained-release B12. Now Foods offers a highly dosed methylated B12, a format consistent with the saturable absorption logic described above. Since a multivitamin often duplicates a B complex, choose one or the other. The rest of our micronutrition is in the vitamin C, vitamin E, zinc, magnesium, iron, and omega 3 sections; our sports nutrition guide explains each category, and the complete catalog is under sports nutrition.
Need advice at a store near Montpellier?
Our store in Vendargues, about ten minutes from Montpellier, is where we turn a box over to look at the only line that matters on a B complex: the vitamin B6 dosage. It's also where we most often advise against a purchase, because the person is already taking a multivitamin that covers the group. We ship everywhere in France and Europe. We will explain what a product contains; we will not tell you if you are lacking anything, as that question belongs to your doctor.
Sources: ANSES for nutritional references, Ciqual for food composition, EFSA for authorized claims and upper safety limits.
To go further: the role of vitamin B12 and signs of deficiency.
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What do the eight B vitamins do?
"Vitamin B" does not exist in the singular. The B group brings together eight distinct vitamins, unrelated chemically, united by a common history: it was believed that a single water-soluble factor had been isolated before it was understood that it contained several. They share two practical properties: water-soluble, thus poorly stored and eliminated through urine, they almost all act as coenzymes in energy production.
Each carries its own European-authorized health claims, with wording regulated to the word, usable as soon as the product is a "source of" the vitamin concerned, meaning 15% of its nutritional reference value per serving.
- B1, thiamine (NRV 1.1 mg) — coenzyme in carbohydrate metabolism. "Thiamine contributes to normal energy-yielding metabolism."
- B2, riboflavin (NRV 1.4 mg) — FAD precursor, electron carrier. "Riboflavin contributes to normal iron metabolism."
- B3, niacin (NRV 16 mg) — NAD precursor, present in hundreds of reactions. "Niacin contributes to the reduction of tiredness and fatigue."
- B5, pantothenic acid (NRV 6 mg) — component of coenzyme A. "Pantothenic acid contributes to normal mental performance."
- B6, pyridoxine (NRV 1.4 mg) — coenzyme in amino acid metabolism. "Vitamin B6 contributes to normal protein and glycogen metabolism."
- B8, biotin (NRV 50 µg) — coenzyme of carboxylases. "Biotin contributes to the maintenance of normal hair."
- B9, folate (NRV 200 µg) — one-carbon group transfer, DNA synthesis. "Folate has a role in the process of cell division."
- B12, cobalamin (NRV 2.5 µg) — coenzyme for only two, but critical, reactions. "Vitamin B12 contributes to normal red blood cell formation."
Six of them — B2, B3, B5, B6, B9, and B12 — also carry the claim "contributes to the reduction of tiredness and fatigue." It means what it says: a contribution, for those who are deficient. It does not make a B complex a stimulant.
Why are they sold as a complex rather than individually?
Three reasons, only two of which are good.
Biochemistry first: these vitamins work in series on the same pathways. Pyruvate from carbohydrates needs B1, B2, B3, and B5 to be oxidized; homocysteine metabolism jointly mobilizes B6, B9, and B12. Providing one without the others only makes sense if a precise point is targeted.
Food sources then: they largely overlap. Offal, meats, eggs, dairy products, legumes, whole grains, green vegetables, and yeasts cover the group fairly homogeneously. A diet poor in one B vitamin is often poor in several — the major exception being B12.
The third reason is commercial: a complex sells better than a single capsule. A "B complex" at 500 or 1000% of NRVs offers nothing more than a reasonable dosage if your intake is adequate, as the excess water-soluble portion is excreted in the urine. The useful benchmark is not the percentage but the adequacy with what you are already taking: many multivitamins cover the entire B group, and combining the two is wasteful.
Why is B12 not optional in a vegan diet?
This is the only case in this entire catalog where we state that supplementation is necessary and not merely useful.
B12 is synthesized only by bacteria. It is found in animal products because these bacteria live in the digestive tract of ruminants, or because the animal has consumed it. No plant contains it in an active form: neither legumes, grains, vegetables, nor any fruit. A strict vegan diet therefore ultimately leads to zero intake.
Two misleading ideas circulate. Spirulina and several algae show "B12" contents that mainly correspond to inactive analogues: these molecules resemble B12 without having its activity and can occupy the same transporters. Spirulina is interesting for other reasons, but it is not a source of B12. Plant proteins, unenriched nutritional yeast, and fermented foods are also not reliable sources.
Key implementation point: B12 absorption is saturable. Active transport, which depends on intrinsic factor secreted by the stomach, only handles a very small amount per intake; the rest only passes through passive diffusion, at about 1% of the dose. Hence, supplements are dosed well above the NRV of 2.5 µg, and weekly high-dose intake is common. The precise regimen—dose, frequency, biological control—should be decided with a doctor.
Methylcobalamin, methylfolate, P5P: Are active forms worth their price?
The commercial argument is always the same: the form sold would be "already active," hence superior to what the body must convert. What can be said honestly:
Methylcobalamin versus cyanocobalamin. Cyanocobalamin is the most stable and well-documented; the body detaches the cyanide group from it, in negligible quantity, and converts it into active forms—including methylcobalamin. The latter is perfectly valid but less stable to light, and no European claim distinguishes it: both carry the same wording.
Methylfolate versus folic acid. Same logic: 5-methyltetrahydrofolate is the circulating form; folic acid must be reduced then methylated, a conversion that MTHFR gene variants slow down in a portion of the population. Methylfolate is a good choice, but folic acid carries most of the available data.
P5P versus pyridoxine. Pyridoxal 5-phosphate (P5P) is the coenzymatic form of B6. A rarely mentioned detail: ingested P5P is in any case dephosphorylated in the intestine before being absorbed, then rephosphorylated in the liver. The theoretical advantage is therefore thinner than advertised, except in specific situations requiring a doctor's advice.
Active forms are therefore not an empty argument, but neither are they the revolution that the price suggests: they do not render classic forms ineffective.
What dose, and what are the safety limits?
Water solubility reassuringly misleads. Three B vitamins have a European upper safety limit, and these are precisely the ones often overdosed in high-percentage complexes.
Vitamin B6 is the most monitored: the European safety limit has been revised downwards and is set at 12 mg per day for adults, from all sources combined. High and prolonged intake of B6 is associated with peripheral nerve damage. However, many B complexes display 25 mg or 50 mg of B6 without any justification — and ZMA formulas also contain it.
Niacin comes in two forms: nicotinic acid, whose limit is very low due to the flushing it causes, and nicotinamide, which is much better tolerated and by far the most commonly used. The mention of the form on the label is therefore important.
Folic acid has a limit set at 1,000 µg per day for adults. High intake can mask a B12 deficiency biologically, which is a serious reason not to stack sources.
Medical advice is essential before any supplementation during pregnancy or breastfeeding — recommendations on folate around conception are precise and fall under the purview of a healthcare professional — for children and adolescents, in cases of kidney failure, during long-term treatment, or in cases of chronic illness.
Frequently Asked Questions
What are B vitamins?
Eight distinct vitamins, chemically unrelated, grouped under the same letter by historical accident: it was long believed that a single water-soluble factor had been isolated before it was discovered that it contained several, hence the gapped numbering we know — B1, B2, B3, B5, B6, B8, B9, B12. They have only two things in common. They are water-soluble, therefore poorly stored and eliminated through urine, requiring regular intake. And almost all act as coenzymes: they provide no energy themselves; they enable enzymes to extract energy from food. This is why a B complex is not a stimulant.
What is the role of B vitamins?
Three main roles, distributed differently depending on the vitamin. First, energy metabolism: B1, B2, B3, and B5 enable the oxidation of carbohydrates, fats, and proteins to produce ATP. Second, DNA synthesis and repair, carried out by folates (B9) and B12, which explains their importance in cell division and red blood cell formation. Finally, the functioning of the nervous system, where B6 is involved in the production of several neurotransmitters and B12 in the maintenance of the myelin sheath. Additionally, B6 plays a role in protein metabolism, particularly stressed in athletes with high protein intake.
How to take a B vitamin complex?
Once a day, with a meal and preferably in the morning or at noon. Taking it with a meal reduces nausea that some formulas cause on an empty stomach; taking it in the morning avoids sleep disturbances reported by some people with highly dosed complexes. Three practical points are more important than the timing. Add up your sources: if you already take a multivitamin or ZMA, a B complex is redundant and increases B6 intake. Check the B6 dose, the only truly sensitive line of a complex. And don't rely on percentages: 1000% of NRVs doesn't make it ten times better, the excess water-soluble portion is excreted in the urine.
Why does urine become bright yellow?
It's riboflavin, vitamin B2: a fluorescent yellow pigment, hence its old name lactoflavin. The unused excess is filtered by the kidneys and colors the urine within a few hours. The phenomenon is harmless and does not indicate a problem or good assimilation: it signals that the dose exceeded what your body could use. Persistent discoloration without supplement intake, however, should be reported to a doctor.
What are the symptoms of a B vitamin deficiency?
First, it must be said why the question is poorly phrased: the eight B vitamins have different roles, and a lack of B1 is not like a lack of B12. Furthermore, proven deficiencies have become rare in France, except in specific situations — vegan diet without supplementation, chronic alcoholism, malabsorption, digestive surgery, malnutrition. The manifestations described in medical literature are severe and specific: anemia and neurological disorders for B12 and folate, nerve damage for B1, skin and mucous membrane lesions for B2 and B3. Vague symptoms often invoked online — fatigue, low mood, dull hair — do not allow for any conclusions: they are shared with dozens of other situations. Doubt is raised by a blood test prescribed by a doctor, not by a purchase.
In which foods are B vitamins found?
Offal and liver cover almost the entire group. Then come meats, fish, eggs and dairy products for B2, B3, B6 and B12; legumes, whole grains and seeds for B1, B6 and B9; leafy green vegetables for folate, whose name comes from the Latin folium, the leaf; brewer's yeast for the entire group except B12.
Which fruit is richest in vitamin B12?
None, and that's the complete answer: B12 is bacterial in origin and is not present in any fruit or vegetable. The richest foods are liver, offal, shellfish and fish, then meat, eggs, and dairy products. For folate (B9), however, citrus fruits, leafy green vegetables, and legumes are good sources.
What are the reasons for a vitamin B12 deficiency?
Two very different mechanisms, which do not call for the same response. The first is insufficient intake: a vegan diet without supplementation, or a diet very low in animal products — this is the only situation where an over-the-counter supplement directly addresses the problem. The second is defective absorption, and it is medical: B12 needs gastric acid to be released from food proteins, then intrinsic factor secreted by the stomach to be absorbed in the ileum. Anything that disrupts this chain causes it to drop: age, which reduces gastric secretion, certain long-term treatments, stomach or intestinal surgeries, inflammatory bowel diseases, and pernicious anemia. In this second case, increasing dietary intake does not solve anything: a blood test and a doctor are needed.
How to detect a vitamin B12 deficiency?
By a blood test prescribed and interpreted by a doctor, and by nothing else. Serum B12 levels are the first test, but they are imperfect: a "borderline" level has no clear meaning, and the doctor may request additional markers — homocysteine, methylmalonic acid — as well as a blood count. Two pitfalls are worth knowing. A high intake of folic acid can correct anemia while allowing neurological damage to progress, which masks the problem. And starting to supplement before testing skews the result: if you suspect a deficiency, get tested first. No symptom, no self-test, and no web page can replace this approach.
How to raise B12 levels?
This question is for a doctor, not a dietary supplement: depending on the cause, high-dose oral and injectable routes do not have the same place, and biological monitoring is part of the treatment. A general public supplement ensures intake for a healthy person; it does not correct a diagnosed anomaly.
How long does a course of B vitamins last?
One to three months is the common duration for a complex, to be reconsidered afterwards. The case of B12 in a vegan diet is different: it is not a course but a permanent intake, as long as the diet continues.
Do B vitamins affect hair?
Only one claim allows this, that of biotin: "Biotin contributes to the maintenance of normal hair," from 7.5 µg per serving. It concerns the maintenance of normal function, not regrowth or density, and does not concern any scalp conditions. A little-known point: high-dose biotin intake can skew certain blood test results—report it before a blood test.
Should I take more after 50?
The relevant question at this age concerns B12, whose absorption from food becomes less efficient, and not the entire group. This is a point to discuss during a check-up, along with vitamin D — not a reason to proactively increase an already highly dosed B6 complex.
What brands are found in this section?
We prioritize labels that name the form of each vitamin rather than those that stack percentages. IO.Genix covers both needs of the section: a complete B complex, and a vegan 1,000 µg sustained-release B12. Now Foods offers a highly dosed methylated B12, a format consistent with the saturable absorption logic described above. Since a multivitamin often duplicates a B complex, choose one or the other. The rest of our micronutrition is in the vitamin C, vitamin E, zinc, magnesium, iron, and omega 3 sections; our sports nutrition guide explains each category, and the complete catalog is under sports nutrition.
Need advice at a store near Montpellier?
Our store in Vendargues, about ten minutes from Montpellier, is where we turn a box over to look at the only line that matters on a B complex: the vitamin B6 dosage. It's also where we most often advise against a purchase, because the person is already taking a multivitamin that covers the group. We ship everywhere in France and Europe. We will explain what a product contains; we will not tell you if you are lacking anything, as that question belongs to your doctor.
Sources: ANSES for nutritional references, Ciqual for food composition, EFSA for authorized claims and upper safety limits.
To go further: the role of vitamin B12 and signs of deficiency.
