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Beriberi is a serious nutritional disorder that affects the cardiovascular and nervous systems. It is caused by a deficiency of thiamine (vitamin B1) in the diet. The Vitamin B1 (Thiamine) LC/MS/MS test is the most important test for diagnosing beriberi.
Beriberi is caused by a deficiency of thiamine (vitamin B1) in the diet. This deficiency typically occurs from inadequate dietary intake of thiamine-rich foods like whole grains, meat, and legumes, or from conditions that impair thiamine absorption such as chronic alcoholism. In some cases, increased metabolic demands during pregnancy, breastfeeding, or hyperthyroidism can lead to thiamine depletion and trigger beriberi symptoms.
The Vitamin B1 (Thiamine) LC/MS/MS test is the most important test for beriberi because it directly measures thiamine levels in your blood using advanced mass spectrometry technology. This highly accurate test can detect even subtle thiamine deficiencies that cause beriberi symptoms affecting your heart, nerves, and muscles. Low thiamine levels in the blood confirm the diagnosis and help your healthcare provider determine the severity of your deficiency, which guides appropriate supplementation therapy to prevent progression and reverse symptoms.
You should get tested if you experience unexplained fatigue, muscle weakness, tingling or numbness in your hands and feet, irregular heartbeat, or swelling in your legs. Testing is especially important if you have a history of chronic alcoholism, follow a restrictive diet lacking whole grains and fortified foods, experience persistent digestive problems, or notice shortness of breath and rapid heart rate. Early detection through blood testing allows for prompt thiamine supplementation before serious cardiovascular or neurological damage occurs.
What this means
Your Vitamin B1 levels are slightly below the optimal range, which may explain feelings of fatigue, low energy, or irritability you've been experiencing. While this is not an emergency, low thiamine can affect how efficiently your body converts food into energy and supports nerve function.
Recommended actions
Include more whole grains, legumes, nuts, and lean pork in your diet
Consider a B-complex supplement after consulting with your healthcare provider
Reduce or eliminate alcohol consumption, as it depletes B1 stores
Retest in 8-12 weeks after making dietary changes to monitor improvement
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