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Here are practical, Dubai-specific strategies to maintain healthy B12 levels: For Meat Eaters Include B12-rich animal foods in your diet at least 3-4 times per week: fish, poultry, eggs, and dairy Prioritise fish and shellfish, which are among the richest B12 sources and widely available in Dubai Be aware that cooking can reduce B12 content by 10-30%, so do not overcook meat For Vegetarians and Vegans Take a daily B12 supplement (at least 250 mcg cyanocobalamin or methylcobalamin) as no plant foods naturally contain bioavailable B12 Include fortified foods: plant milks, breakfast cereals, and nutritional yeast available in most Dubai supermarkets and health food stores Lacto-ovo vegetarians should consume eggs and dairy regularly, though these alone may not provide sufficient B12 Get tested annually, as deficiency can develop even with supplementation if absorption is impaired For Those on High-Risk Medications If you take metformin for diabetes, ask your doctor about regular B12 monitoring (the American Diabetes Association recommends periodic testing) If you use PPIs or H2 blockers long-term, consider annual B12 testing Never stop prescribed medications without consulting your doctor, but do discuss B12 monitoring General Prevention for Dubai Residents Include B12 in your annual health checkup
