Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 10 Sayı: 2

Effects of Micronutrients on Appetite Regulation

Mikro Besinlerin İştah Metabolizması Üzerindeki Etkileri

Merve Sadık(İSTANBUL SAĞLIK VE TEKNOLOJİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0009-0006-3820-609X
Vahibe Uluçay Kestane(İSTANBUL GALATA ÜNİVERSİTESİ)0009-0008-2088-0566
Pages
211–225
Publication Date
2026-08-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Inadequate and limited data, especially in human clinical studies, reveals the need for further studies in this field

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Appetite metabolism involves complex physiological processes regulated through central and peripheral systems.
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Key Findings & Data:Clinical and experimental studies on the direct or indirect effects of micronutrients such as vitamin A, zinc, iron, folic acid, calcium, B12, and vitamin D on appetite metabolism are reviewed.
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Conclusion & Impact:Inadequate and limited data, especially in human clinical studies, reveals the need for further studies in this field
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Anoreksijenik sinyaller · İştah düzenlenmesi · Mikro besinler

Abstract

Appetite metabolism involves complex physiological processes regulated through central and peripheral systems. Micronutrients may affect appetite metabolism by taking direct or indirect roles in these processes. The aim of this review is to evaluate the effects of micronutrients on appetite metabolism and the scientific research on this subject. Clinical and experimental studies on the direct or indirect effects of micronutrients such as vitamin A, zinc, iron, folic acid, calcium, B12, and vitamin D on appetite metabolism are reviewed. Micronutrients can exert both orexigenic and anorexigenic effects on appetite metabolism. It has been reported that iron, zinc, folic acid, and vitamin B12 deficiencies may lead to decreased appetite. In contrast, vitamin A and zinc supplementation may increase appetite through orexigenic pathways such as neuropeptide Y and AgRP, although zinc's relationship with ghrelin appears species-dependent, showing a stimulatory effect in rodent models but a suppressive effect in avian models. Vitamin D exerts a complex, bidirectional effect on appetite: while it can act through anorexigenic pathways involving leptin and peptide YY, vitamin D deficiency has also been associated with increased appetite, and some studies report that vitamin D increases both leptin and ghrelin synthesis simultaneously. The effects of micronutrients on appetite metabolism are complex and multifaceted. These effects are mediated through the central nervous system, hormonal signals, vagal pathways and microbiota. Inadequate and limited data, especially in human clinical studies, reveals the need for further studies in this field

Özet

İştah metabolizması, merkezi ve periferik sistemler aracılığıyla düzenlenen karmaşık fizyolojik süreçleri içermektedir. Mikro besinler bu süreçlerde doğrudan veya dolaylı rol alarak iştah metabolizmasını etkileyebilmektedir. Bu derlemenin amacı, mikro besinlerin iştah metabolizması üzerindeki etkilerini ve bu konuda yapılan bilimsel araştırmaları değerlendirmektir. A vitamini, çinko, demir, folik asit, kalsiyum, B12 ve D vitamini gibi mikro besinlerin iştah metabolizmasına doğrudan veya dolaylı olarak etkisi olan klinik ve deneysel araştırmalar derlenmiştir. Mikro besinler, iştah metabolizması üzerinde hem oreksijenik hem anoreksijenik etki gösterebilmektedir. Demir, çinko, folik asit ve B12 vitamini eksikliklerinin iştah azalmasına yol açabileceği rapor edilmiştir.A vitamini ve çinko takviye kullanımı nöropeptid Y ve AgRP gibi oreksijenik yolaklar üzerinden iştahı artırabilirken, çinkonun ghrelin ile ilişkisi türe bağlı farklılık göstermektedir; kemirgen modellerinde uyarıcı, kanatlı modellerinde ise baskılayıcı bir etki gözlenmektedir. D vitamini ise iştah üzerinde karmaşık ve çift yönlü bir etkiye sahiptir: leptin ve peptit YY gibi anoreksijenik yolaklar üzerinden etki gösterebildiği gibi, D vitamini eksikliğinin iştah artışıyla ilişkilendirildiği ve bazı çalışmalarda D vitamininin hem leptin hem ghrelin sentezini eş zamanlı artırdığı da bildirilmiştir. Mikro besinlerin iştah metabolizması üzerindeki etkileri kompleks ve çok yönlüdür. Bu etkiler merkezi sinir sistemi, hormonal sinyaller, vagal yolaklar ve mikrobiyota üzerinden gerçekleşmektedir. Özellikle insan çalışmalarındaki verilerin yetersiz ve sınırlı olması bu alanda daha fazla çalışmaya ihtiyaç olduğunu ortaya koymaktadır.

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Cite This Article

Sadık, M., Kestane, V. U. (2026). Effects of Micronutrients on Appetite Regulation. Türkiye Diyabet ve Obezite Dergisi, Cilt: 10 Sayı: 2, 211–225. https://ajindex.com/articles/1436191

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References (84)

  1. Beglinger C, Degen L. Fat in the intestine as a regulator of appetite—role of CCK. Physiol Behav. 2004;83(4):617-621. https://doi.org/10.1016/j.physbeh.2004.07.031.
  2. Lam YY, Maguire S, Palacios T, Caterson ID. Are the gut bacteria telling us to eat or not to eat? Reviewing the role of gut microbiota in the etiology, disease progression and treatment of eating disorders. Nutrients. 2017;9(6):602. https://doi. org/10.3390/nu9060602.
  3. Zakrisson A. Did you know that your cravings might be microbes controlling your mind? Acta Physiol (Oxf). 2015;215(4):165-166. https://doi.org/10.1111/apha.12593.
  4. Ludwig M, Högner A. High expectations: from treatment to prevention. Acta Physiol (Oxf). 2015;215(1):2-4. https://doi. org/10.1111/apha.12549.
  5. Ahn BH, Kim M, Kim SY. Brain circuits for promoting homeostatic and non-homeostatic appetites. Exp Mol Med. 2022;54:349-357. https://doi.org/10.1038/s12276-022-00753-2.
  6. Na J, Park BS, Jang D, Kim D, Tu TH, Ryu Y, Ha CM, Koch M, Yang S, Kim JG, Yang S. Distinct firing activities of the hypothalamic arcuate nucleus neurons to appetite hormones. Int J Mol Sci. 2022;23(5):2609. https://doi.org/10.3390/ijms23052609.
  7. Grill HJ, Hayes MR. Hindbrain neurons as an essential hub in the neuroanatomically distributed control of energy balance. Cell Metab. 2012;16(3):296-309. https://doi.org/10.1016/j. cmet.2012.06.015
  8. Chen J, Cheng M, Wang L, Zhang L, Xu D, Cao P, Wang F, Herzog H, Song S, Zhan C. A vagal-NTS neural pathway that stimulates feeding. Curr Biol. 2020;30(20):3986-3998.e5. https:// doi.org/10.1016/j.cub.2020.07.084.
  9. de Lartigue G. Role of the vagus nerve in the development and treatment of diet-induced obesity. J Physiol. 2016;594(20):5791-5815. https://doi.org/10.1113/JP271538.
  10. Bai L, Mesgarzadeh S, Ramesh KS, Huey EL, Liu Y, Gray LA, Aitken TJ, Chen Y, Beutler LR, Ahn JS, Madisen L, Zeng H, Krasnow MA, Knight ZA. Genetic identification of vagal sensory neurons that control feeding. Cell. 2019;179(5):11291143.e23. https://doi.org/10.1016/j.cell.2019.10.031.
  11. Yu M, Yu B, Chen D. The effects of gut microbiota on appetite regulation and the underlying mechanisms. Gut Microbes. 2024;16(1):2414796. https://doi.org/10.1080/19490976.2024.2 414796.
  12. Liu H, Guo X, Jiang K, Shi B, Liu L, Hou R, Chen G, Farag MA, Yan N, Liu L. Dietary polyphenols regulate appetite mechanism via gut-brain axis and gut homeostasis. Food Chem. 2024;446:138739. https://doi.org/10.1016/j.foodchem.2024.138739.
  13. Moris JM, Heinold C, Blades A, Koh Y. Nutrient-based appetite regulation. J Obes Metab Syndr. 2022;31(2):161-168. https://doi.org/10.7570/jomes22031.
  14. Sohn JW. Network of hypothalamic neurons that control appetite. BMB Rep. 2015;48(4):229-233. https://doi.org/10.5483/ bmbrep.2015.48.4.272.
  15. Liu S, Wang X, Zheng Q, Gao L, Sun Q. Sleep deprivation and central appetite regulation. Nutrients. 2022;14(24):5196. https://doi.org/10.3390/nu14245196.
  16. Hong S, Choi KM. Gut hormones and appetite regulation. Curr Opin Endocrinol Diabetes Obes. 2024;31(3):115-121. https://doi.org/10.1097/med.0000000000000859.
  17. Sınar DS, Acar NE, Yıldırım İ. Enerji metabolizması, obezite ve hormonlar. Turk J Sports Sci. 2020;4(1):30-60. https://doi. org/10.32706/tusbid.719671.
  18. Arıkan Ş. Ghrelin ve egzersiz ilişkisi. Kilis 7 Aralık Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi. 2019;3(2):40-50.
  19. Andermann ML, Lowell BB. Toward a wiring diagram understanding of appetite control. Neuron. 2017;95(4):757-778. https://doi.org/10.1016/j.neuron.2017.06.014.
  20. Sierra AY, Gratacós E, Carrasco P, Clotet J, Ureña J, Serra D, Asins G, Hegardt FG, Casals N. CPT1c is localized in endoplasmic reticulum of neurons and has carnitine palmitoyltransferase activity. J Biol Chem. 2008;283(11):6878-6885. https://doi. org/10.1074/jbc.m707965200.
  21. Hao F, Tian M, Zhang X, Jin X, Jiang Y, Sun X, Wang Y, Peng P, Liu J, Xia C, Feng Y, Wei M. Butyrate enhances CPT1A activity to promote fatty acid oxidation and iTreg differentiation. Proc Natl Acad Sci U S A. 2021;118(22):e2014681118. https://doi. org/10.1073/pnas.2014681118.
  22. Patterson M, Bloom SR, Gardiner JV. Ghrelin and appetite control in humans-potential application in the treatment of obesity. Peptides. 2011;32(11):2290-2294. https://doi. org/10.1016/j.peptides.2011.07.021.
  23. Morin V, Hozer F, Costemale-Lacoste JF. The effects of ghrelin on sleep, appetite, and memory, and its possible role in depression: a review of the literature. Encephale. 2018;44(3):256-263. https://doi.org/10.1016/j.encep.2017.10.012.
  24. Al Massadi O, López M, Tschöp M, Diéguez C, Nogueiras R. Current understanding of the hypothalamic ghrelin pathways inducing appetite and adiposity. Trends Neurosci. 2017;40(3):167-180. https://doi.org/10.1016/j.tins.2016.12.003.
  25. Büyükuslu DDN. İştah-doygunluk metabolizmasını etkileyen faktörler. Pediatri. 2019;11(1):22-28.
  26. McMorrow HE, Cohen AB, Lorch CM, Hayes NW, Fleps SW, Frydman JA, Xia JL, Samms RJ, Beutler LR. Incretin receptor agonism rapidly inhibits AgRP neurons to suppress food intake in mice. J Clin Invest. 2025;135(21):e186652. https://doi. org/10.1172/JCI186652
  27. Mogavero MP, Godos J, Grosso G, Caraci F, Ferri R. Rethinking the role of orexin in the regulation of REM sleep and appetite. Nutrients. 2023;15(17):3679. https://doi.org/10.3390/ nu15173679.
  28. Özaçmak HS, Bayraktaroğlu T. The effects of glucagon like peptid-1 on nervous system and appetite. Turk J Diab Obes. 2017;1(1):1-6.
  29. Raybould HE. Mechanisms of CCK signaling from gut to brain. Curr Opin Pharmacol. 2007;7(6):570-574. https://doi. org/10.1016/j.coph.2007.09.006.
  30. Reimann F, Williams L, da Silva Xavier G, Rutter GA, Gribble FM. Glutamine potently stimulates glucagon-like peptide-1 secretion from GLUTag cells. Diabetologia. 2004;47(9):15921601. https://doi.org/10.1007/s00125-004-1498-0.
  31. Adrian TE, Ferri GL, Bacarese-Hamilton AJ, Fuessl HS, Polak JM, Bloom SR. Human distribution and release of a putative new gut hormone, peptide YY. Gastroenterology. 1985;89(5):1070-1077. https://doi.org/10.1016/00165085(85)90211-2.
  32. Koegler FH, Enriori PJ, Billes SK, Takahashi DL, Martin MS, Clark RL, Evans AE, Grove KL, Cameron JL, Cowley MA. Peptide YY (3-36) inhibits morning, but not evening, food intake and decreases body weight in rhesus macaques. Diabetes. 2005;54(11):3198-3204. https://doi.org/10.2337/diabetes.54.11.3198.
  33. Perakakis N, Farr OM, Mantzoros CS. Leptin in leanness and obesity: JACC state-of-the-art review. J Am Coll Cardiol. 2021;77(6):745-760. https://doi.org/10.1016/j. jacc.2020.11.069.
  34. Stephens TW, Basinski M, Bristow PK, Bue-Valleskey JM, Burgett SG, Craft L, Hale J, Hoffmann J, Hsiung HM, Kriauciunas A, MacKellar W, Rosteck Jr PR, Schoner B, Smith D, Tinsley FC, Zhang XY, Heiman M. The role of neuropeptide Y in the antiobesity action of the obese gene product. Nature. 1995;377(6549):530-532. https://doi.org/10.1038/377530a0.
  35. Ahi EP, Brunel M, Tsakoumis E, Schmitz M. Transcriptional study of appetite regulating genes in the brain of zebrafish (Danio rerio) with impaired leptin signalling. Sci Rep. 2019;9(1):20166. https://doi.org/10.1038/s41598-019-56608-8.
  36. Adamska-Patruno E, Ostrowska L, Goscik J, Pietraszewska B, Kretowski A, Gorska M. The relationship between the leptin/ ghrelin ratio and meals with various macronutrient contents in men with different nutritional status: a randomized crossover study. Nutr J. 2018;17(1):118. https://doi.org/10.1186/ s12937-018-0427-x.
  37. Templeman I, Smith HA, Walhin JP, Middleton B, Gonzalez JT, Karagounis LG, Johnston JD, Betts JA. Unacylated ghrelin, leptin, and appetite display diurnal rhythmicity in lean adults. J Appl Physiol (1985). 2021;130(5):1534-1543. https://doi. org/10.1152/japplphysiol.00920.2020.
  38. Barrios-Correa AA, Estrada JA, Contreras I. Leptin signaling in the control of metabolism and appetite: lessons from animal models. J Mol Neurosci. 2018;66(3):390-402. https://doi. org/10.1007/s12031-018-1185-0.
  39. Şahin T, Tozcu D. Leptin, mikrobiyota ve obezite ilişkisi. Turk J Diab Obes. 2022;6(1):77-84.
  40. Frederickson CJ, Koh JY, Bush AI. The neurobiology of zinc in health and disease. Nature Reviews Neuroscience. 2005;6(6):449-462. https://doi.org/10.1038/nrn1671
  41. Suzuki H, Asakawa A, Li JB, Tsai M, Amitani H, Ohinata K, Komai M, Inui A. Zinc as an appetite stimulator - the possible role of zinc in the progression of diseases such as cachexia and sarcopenia. Recent Pat Food Nutr Agric. 2011;3(3):226-231. https://doi.org/10.2174/2212798411103030226.
  42. Yoshioka H, Tominaga S, Suzui M, Shinohara Y, Maeda T, Miura N. Involvement of Npas2 and Per2 modifications in zinc-induced acute diurnal toxicity in mice. J Toxicol Sci. 2022;47(12):547-553. https://doi.org/10.2131/jts.47.547.
  43. Peng D, Yang L, Liang XF, Chai F. Dietary zinc levels affect growth, appetite, and lipid metabolism of Chinese perch (Siniperca chuatsi). Fish Physiol Biochem. 2023;49(5):10171030. https://doi.org/10.1007/s10695-023-01238-w.
  44. Ohinata K, Takemoto M, Kawanago M, Fushimi S, Shirakawa H, Goto T, Asakawa A, Komai M. Orally administered zinc increases food intake via vagal stimulation in rats. J Nutr. 2009;139(3):61161-61166. https://doi.org/10.3945/ jn.108.096370.
  45. Aranha LN, Lobo JC, Stockler-Pinto MB, Leal V de O, Torres JPM, Mafra D. Relationship between zinc levels and plasma leptin in hemodialysis patients. J Trace Elem Med Biol. 2012;26(4):238-242. https://doi.org/10.1016/j. jtemb.2012.02.007.
  46. Komai M, Goto T, Ohinata K, Kambe T, Mayanagi Y, Shirakawa H. Clarification of the mechanism involved in orexigenic action by oral zinc ingestion. Yakugaku Zasshi. 2018;138(8):10111016. https://doi.org/10.1248/yakushi.17-00048-2.
  47. Hu X, Sheikhahmadi A, Li X, Wang Y, Jiao H, Lin H, Zhang B, Song Z. Effect of zinc on appetite regulatory peptides in the hypothalamus of Salmonella-challenged broiler chickens. Biol Trace Elem Res. 2016;172(1):228-233. https://doi.org/10.1007/ s12011-015-0582-2
  48. Ganz T. Systemic iron homeostasis. Physiological Reviews. 2013;93(4):1721-1741. https://doi.org/10.1152/physrev.00008.201
  49. Gao Y, Li Z, Gabrielsen JS, Simcox JA, Lee SH, Jones D, Cooksey B, Stoddard G, Cefalu WT, McClain DA. Adipocyte iron regulates leptin and food intake. J Clin Invest. 2015;125(9):36813691. https://doi.org/10.1172/JCI81860.
  50. Stoltzfus RJ, Chway HM, Montresor A, Tielsch JM, Jape JK, Albonico M, Savioli L. Low dose daily iron improves iron status and appetite but not anemia, whereas quarterly anthelminthic improves growth, appetite and anemia in Zanzibari preschool children. J Nutr. 2004;134(2):348-356. https://doi. org/10.1093/jn/134.2.348.
  51. Kucuk N, Orbak Z, Karakelleoglu C, Akcay F. The effect of therapy on plasma ghrelin and leptin levels, and appetite in children with iron deficiency anemia. J Pediatr Endocrinol Metab. 2019;32(3):275-280. https://doi.org/10.1515/jpem2018-0352.
  52. Topaloglu AK, Hallioglu O, Canim A, Duzovali O, Yilgor E. Lack of association between plasma leptin levels and appetite in children with iron deficiency. Nutrition. 2001;17(7-8):657659. https://doi.org/10.1016/s0899-9007(01)00570-6.
  53. Lawless JW, Latham MC, Stephenson LS, Kinoti SN, Pertet AM. Iron supplementation improves appetite and growth in anemic Kenyan primary school children. J Nutr. 1994;124(5):645654. https://doi.org/10.1093/jn/124.5.645.
  54. Ghrayeb H, Elias M, Nashashibi J, Youssef A, Manal M, Mahagna L, Refaat M, Schwartz N, Elias A. Appetite and ghrelin levels in iron deficiency anemia and the effect of parenteral iron therapy: a longitudinal study. PLoS One. 2020;15(6):e0234209. https://doi.org/10.1371/journal.pone.0234209.
  55. Brown EM, MacLeod RJ. Extracellular calcium sensing and extracellular calcium signaling. Physiol Rev. 2001;81(1):239297. https://doi.org/10.1152/physrev.2001.81.1.23
  56. Watkins JD, Koumanov F, Gonzalez JT. Protein- and calcium-mediated GLP-1 secretion: a narrative review. Adv Nutr. 2021;12(6):2540-2552. https://doi.org/10.1093/advances/ nmab078.
  57. Watkins JD, Smith HA, Hengist A, Nielsen SB, Mikkelsen UR, Saunders J, Koumanov F, Betts JA, Gonzalez JT. Effects of physical form of β-lactoglobulin and calcium ingestion on GLP-1 secretion, gastric emptying and energy intake in humans: a randomised crossover trial. Br J Nutr. 2024;131(10):17301739. https://doi.org/10.1017/S0007114524000321.
  58. Groves NJ, McGrath JJ, Burne TH. Vitamin D as a neurosteroid affecting the developing and adult brain. Annu Rev Nutr. 2014;34:117-141. https://doi.org/10.1146/annurev-nutr-071813-105557
  59. Abbas MA. Physiological functions of vitamin D in adipose tissue. J Steroid Biochem Mol Biol. 2017;165(Pt B):369-381. https://doi.org/10.1016/j.jsbmb.2016.08.004.
  60. Sheikholeslami-Vatani D, Rostamzadeh N. Changes in appetite-dependent hormones and body composition after 8 weeks of high-intensity interval training and vitamin D supplementation in sedentary overweight men. Front Nutr. 2022;9:827630. https://doi.org/10.3389/fnut.2022.827630.
  61. Hajimohammadi M, Shab-Bidar S, Neyestani TR. Consumption of vitamin D-fortified yogurt drink increased leptin and ghrelin levels but reduced leptin to ghrelin ratio in type 2 diabetes patients: a single blind randomized controlled trial. Eur J Nutr. 2017;56(6):2029-2036. https://doi.org/10.1007/s00394017-1397-z.
  62. Ozeki J, Choi M, Endo-Umeda K, Sakurai K, Amano S, Makishima M. Enhanced transcription of pancreatic peptide YY by 1α-hydroxyvitamin D3 administration in streptozotocin-induced diabetic mice. Neuropeptides. 2013;47(5):329-332. https://doi.org/10.1016/j.npep.2013.07.002.
  63. Ulutas O, Taskapan H, Taskapan MC, Temel I. Vitamin D deficiency, insulin resistance, serum adipokine, and leptin levels in peritoneal dialysis patients. Int Urol Nephrol. 2013;45(3):879884. https://doi.org/10.1007/s11255-012-0308-8.
  64. Cho MH, Shim YS, Lee HS. Associations between serum 25-hydroxyvitamin D levels and metabolic syndrome among Korean adolescents: based on the Korea National Health and Nutrition Examination Survey in 2022-2023. Nutrients. 2026;18(2):360. https://doi.org/10.3390/nu18020360
  65. Reynolds E. Vitamin B12, folic acid, and the nervous system. Lancet Neurol. 2006;5(11):949-960. https://doi.org/10.1016/ S1474-4422(06)70598-1
  66. Namdari M, Abadi A, Taheri SM, Rezaei M, Kalantari N, Omidvar N. Effect of folic acid on appetite in children: ordinal logistic and fuzzy logistic regressions. Nutrition. 2014;30(3):274-278. https://doi.org/10.1016/j.nut.2013.08.008.
  67. Riahi F, Tashakori A, Vanani GS. Effects of folic acid on appetite in children with attention deficit hyperactivity disorder (ADHD) treated with methylphenidate: a randomized double-blind clinical trial. Iran J Med Sci. 2018;43(1):9-17.
  68. Chmurzynska A, Stachowiak M, Pruszynska-Oszmalek E. Maternal protein and folic acid intake during gestation does not program leptin transcription or serum concentration in rat progeny. Genes Nutr. 2012;7(2):217-222. https://doi. org/10.1007/s12263-011-0239-5.
  69. K. Shearer KD, Stoney PN, Morgan PJ, McCaffery PJ. A vitamin for the brain. Trends Neurosci. 2012;35(12):733-741. https://doi.org/10.1016/j.tins.2012.08.005
  70. Chen J, Zeng M, Liang XF, Peng D, Xie R, Wu D. Dietary supplementation of VA enhances growth, feed utilization, glucose and lipid metabolism, appetite, and antioxidant capacity of Chinese perch (Siniperca chuatsi). Fish Physiol Biochem. 2024;50(1):225-237. https://doi.org/10.1007/s10695-02301221-5.
  71. Green R, Allen LH, Bjørke-Monsen AL, Brito A, Guéant JL, Miller JW, Molloy AM, Nexo E, Stabler S, Toh BH, Ueland PM, Yajnik C. Vitamin B12 deficiency. Nat Rev Dis Primers. 2017;3:17040. https://doi.org/10.1038/nrdp.2017.40
  72. M Al-Daghri N, Abd-Alrahman S, Wani K, Krishnaswamy S, Alenad A, Hassan MA, S Al-Attas O, Alokail MS. Strong parent-child correlation in circulating vitamin B12 levels and its association with inflammatory markers in Saudi families. Int J Vitam Nutr Res. 2020;90(5-6):430-438. https://doi. org/10.1024/0300-9831/a000585.
  73. Manapurath R, Strand TA, Chowdhury R, Kvestad I, Yajnik CS, Bhandari N, Taneja S. Daily folic acid and/or vitamin B12 supplementation between 6 and 30 months of age and cardiometabolic risk markers after 6-7 years: a follow-up of a randomized controlled trial. J Nutr. 2023;153(5):1493-1501. https:// doi.org/10.1016/j.tjnut.2023.03.003.
  74. Kook PH, Melliger RH, Hersberger M. Efficacy of intramuscular hydroxocobalamin supplementation in cats with cobalamin deficiency and gastrointestinal disease. J Vet Intern Med. 2020;34(5):1872-1878. https://doi.org/10.1111/jvim.15865.
  75. Kempf J, Hersberger M, Melliger RH, Reusch CE, Kook PH. Effects of 6 weeks of parenteral cobalamin supplementation on clinical and biochemical variables in cats with gastrointestinal disease. J Vet Intern Med. 2017;31(6):1664-1672. https:// doi.org/10.1111/jvim.14830.
  76. Goraya JS, Kaur S, Mehra B. Neurology of nutritional vitamin B12 deficiency in infants: case series from India and literature review. J Child Neurol. 2015;30(13):1831-1837. https://doi. org/10.1177/0883073815583688.
  77. Duplessis M, Lapierre H, Sauerwein H, Girard CL. Combined biotin, folic acid, and vitamin B12 supplementation given during the transition period to dairy cows: Part I. Effects on lactation performance, energy and protein metabolism, and hormones. J Dairy Sci. 2022;105(8):7079-7096. https://doi. org/10.3168/jds.2021-21677.
  78. Palmas W. Effects of short-term supplementation with ascorbate, folate, and vitamins B6 and B12 on inflammatory factors and estrogen levels in obese postmenopausal women. Int J Vitam Nutr Res. 2006;76(1):34-38. https://doi.org/10.1024/03009831.76.1.34.
  79. Zimmermann MB, Boelaert K. Iodine deficiency and thyroid disorders. Lancet Diabetes Endocrinol. 2015;3(4):286-295. https://doi.org/10.1016/S2213-8587(14)70225-6
  80. Rayman MP. Selenium and human health. Lancet. 2012;379(9822):1256-1268. https://doi.org/10.1016/S01406736(11)61452-9
  81. Volpe SL. Magnesium in disease prevention and overall health. Adv Nutr. 2013;4(3):378S-383S. https://doi.org/10.3945/ an.112.003483
  82. Cintra DE, Ropelle ER, Moraes JC, Pauli JR, Morari J, Souza CT, Grimaldi R, Stahl M, Carvalheira JB, Saad MJ, Velloso LA. Unsaturated fatty acids revert diet-induced hypothalamic inflammation in obesity. PLoS One. 2012;7(1):e30571. https:// doi.org/10.1371/journal.pone.0030571
  83. Brissot P, Ropert M, Le Lan C, Loréal O. Non-transferrin bound iron: a key role in iron overload and iron toxicity. Biochim Biophys Acta. 2012;1820(3):403-410. doi: 10.1016/j. bbagen.2011.07.014
  84. Penniston KL, Tanumihardjo SA. The acute and chronic toxic effects of vitamin A. Am J Clin Nutr. 2006;83(2):191-201. https://doi.org/10.1093/ajcn/83.2.191