A Second Look | Take This Test NOW

A Second Look: B-12 Deficient? Take This Test NOW

This test is called the Cobalamin Deficiency Criteria List & Risk Score, and is an excellent next look at your health and possible B-12 levels. Based on your risk for deficiency, you may choose to: talk with your health professional; get clinically tested to check your B-12 levels (see the next section, “View #3: The Gold Standard for Testing B-12”; and/or choose an appropriate level of supplementation as written below in “Three Supplement Protocols for Vitamin B-12.”

You can use the Cobalamin Deficiency Criteria List (CDCL) below, and then add up your score to determine your risk of B-12 deficiency. Simply check next to the boxes.

**PRINT THIS TEST WITH YOUR RESULTS** (SHOW YOUR HEALTH PROFESSIONAL)

Cobalamin Deficiency Criteria Risk (CDR) Score
High Risk:	greater than 6
Moderate Risk:	3 to 6
Low Risk:	less than 3

HERE IS THE TEST: Cobalamin Deficiency Criteria List (CDCL)

I. Neurologic Manifestations

☐ (+2) paresthesias
☐ (+2) weakness (extremity)
☐ (+2) dizziness, light-headedness
☐ (+2) syncope
☐ (+2) falling
☐ (+2) abnormal gait/ataxia
☐ (+2) mental status changes
☐ (+2) confusion/disorientation
☐ (+2) dementia
☐ (+2) diminished proprioception
☐ (+2) distorted touch/pain perception
☐ (+2) impaired vibration sense
☐ (+2) muscular spasticity
☐ (+2) tremor
☐ (+2) +Babinski or +Lhermitte’s sign
☐ (+2) paralysis
☐ (+1) incontinence (urinary/fecal)
☐ (+1) impotence

II. Hematologic Manifestations

☐ (+2) anemia
☐ (+2) macrocytosis
☐ (+2) ovalocytes or eliptocytes
☐ (+2) hypersegmented neutrophils
☐ (+1) anisocytosis
☐ (+1) leukopenia
☐ (+1) thrombocytopenia
☐ (+1) microcytosis

III. Psychiatric Manifestations

☐ (+2) depression
☐ (+2) hallucinations
☐ (+2) delusions
☐ (+2) violent behavior
☐ (+2) personality changes
☐ (+2) psychosis
☐ (+2) apathy
☐ (+2) paranoia
☐ (+2) irritability
☐ (+2) schizophrenia

IV. Gastrointestinal Diseases

☐ (+2) hyperchlorhydria/achlorhydria
☐ (+2) gastritis
☐ (+2) ulcers
☐ (+2) inflammatory bowel disorders
☐ (+2) diverticulosis
☐ (+2) gastrointestinal neoplasms
☐ (+2) gastrointestinal resections
☐ (+2) gastric bypass
☐ (+2) malabsorption syndromes
☐ (+2) small bowel overgrowth
☐ (+2) diphyllobothrium infection
☐ (+2) Zollinger-Ellison syndrome
☐ (+2) pancreatic exocrine insufficiency
☐ (+2) Imerslund-Graesbeck syndrome
☐ (+2) congenital inborn metabolic errors
☐ (+2) Crohn’s disease (regional enteritis)
☐ (+2) Celiac disease (gluten enteropathy)

V. Populations at Risk

☐ (+2) gastric atrophy
☐ (+1) age over 60 years
☐ (+2) family history of pernicious anemia
☐ (+1) history of thyroid disorders
☐ (+1) history of autoimmune disorders
☐ (+1) history of insulin dependant diabetes
☐ (+1) history of cancer , chemotherapy, or radiation therapy
☐ (+1) nitrous oxide use
☐ (+1) vegans or vegetarians
☐ (+1) certain medications: proton pump inhibitors, antacids, H2-blockers, potassium chloride, phenytoin, metformin, cholestyramine, colchicine
☐ (+1) folic acid therapy

VI. Disorders With Possible Underlying Cobalamin Deficiency

☐ (+2) dementia/Alzheimer’s disease
☐ (+2) multiple sclerosis
☐ (+2) neurologic disorders
☐ (+2) psychiatric disorders
☐ (+2) peripheral neuropathies
☐ (+2) AIDS dementia complex
☐ (+2) hyperhomocystinemia
☐ (+2) congestive heart failure
☐ (+2) autism
☐ (+2) fibromyalgia
☐ (+2) hemodialysis
☐ (+2) vertigo
☐ (+1) occlusive vascular disorders (CVA, TIA, MI, PE, DVT)
☐ (+1) thalassemia trait
☐ (+1) iron deficiency
☐ (+1) polycythemia
☐ (+1) thrombocytopenia
☐ (+1) alcoholism
☐ (+1) radiculopathy from back or neck injury/disorder
☐ (+1) chronic pain with drug-seeking behavior

VII. Other Manifestations of Cobalamin Deficiency

☐ (+1) fatigue/lack of energy
☐ (+1) generalized weakness
☐ (+1) weight loss/loss of appetite
☐ (+1) constipation or diarrhea
☐ (+1) optic neuritis
☐ (+1) orthostatic hypotension
☐ (+1) chest pain/exertional dyspnea
☐ (+1) hepatomegaly or splenomegaly
☐ (+1) poor wound healing
☐ (+1) premature graying
☐ (+1) hyperpigmentation
☐ (+1) pallor
☐ (+1) glossitis
☐ (+1) tinnitus
☐ (+1) vitiligo
☐ (+1) cervical dysplasia/abnormal cells on PAP smear

Now you can add up your score to determine your risk of B-12 deficiency.

Cobalamin Deficiency Criteria Risk (CDR) Score
High Risk:	greater than 6
Moderate Risk:	3 to 6
Low Risk:	less than 3

Note your risk level: __________

In the next section, “The Gold Standard for Testing B-12” we are going to look at clinical tests that you can use to further determine your body’s levels of B-12. Your score above and using the Gold Standard for clinical measurement of your B-12 (discussed in the next section) will help both you and your health professional to determine what B-12 protocol is right for you.

Stay Sharp,

David Rainoshek, M.A.
Master Coach & Author, B12 Exposed
Founder, JuiceFeasting.com

P.S. You may want to print this test with your results to take to your health professional when you consult with him or her about your most skillful approach to achieve Healthy B-12 Status and maintain it for life.