@dr.rickpescatore: Thiamine (Vitamin B1) deficiency is widespread, rampant, and a public health emergency. Pain, fatigue, nausea, and more—all can be traced to thiamine deficiency!

Dr. Rick Pescatore, BellyMD
Dr. Rick Pescatore, BellyMD
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Region: US
Thursday 12 February 2026 02:59:51 GMT
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amandapendleydaughtry
Amanda Daughtry :
RD here- Thiamine occurs naturally in meat, whole grains, some vegetables. Along with the food supply deficiency, unfortunately, Americanize diet relies heavily on processed foods and thiamine is lost during this process. You need thiamine to use carbohydrates, and if those carbohydrates don’t have thiamine replenishment then that will cause the deficiency. Some causes of vitamin B1 deficiencies include high sugar intake, high alcohol intake, high tannin intake (coffee and tea).
2026-02-22 11:39:33
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kristinaennis
Kristina Hope Ennis 🇨🇦 :
How does this link to hEDS
2026-06-19 01:30:11
0
123lukeyg
Luke :
Never thought this would B1 of the reasons I’m sick
2026-02-13 00:22:40
1062
finchie623
Sarah Finch :
Ob/gyn here, and I'm seeing a *ton* of iron deficiency that wasn't there a decade ago. I haven't been checking thiamine unless people have really bad hyperemesis, but I will now.
2026-03-07 21:02:13
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lj11474
LJ :
COVID depletes Thiamine! Followed a story of a teenage girl in my town who had long covid and ended up in so much pain she was unable to walk or talk. Received treatment at the spero clinic, one of which was replenishing thiamine. She is fully functional again!
2026-02-16 03:19:10
208
the_real_latasha
The Real Latasha :
Psych NP here. I tested my son for every deficiency under the son for his schizoaffective disease and the ONLY thing he was deficient in was thiamine and severely deficient.
2026-03-13 22:07:01
51
a.pen.pal
Morel-la 🇨🇦 :
I read that replenishing thiamine might help 'heavy legs' (which I have but have never explained to anyone because it sounds weird - but going upstairs, my legs feel winded. Heavy. Like they have no gas to do it.) I'm so curious to see if this changes now.
2026-02-12 17:44:09
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cherri.gasoline
Kay :
i hate the “it’s plentiful in food sources, so you can’t have it!!” argument. i work in mental health. The majority of people I see only eat potato chips or other snack foods for 100% of their diet, including high-functioning individuals just coming in for social work referrals. *I* only eat a waffle most days, which contains 0 b vitamins. You have no idea how bad most people’s diets are. They’re not even getting the foods we’ve lobbied to fortify
2026-02-14 13:47:21
24
ine.n.c
Áine Ní C :
Well I’ll be ok as I’m a Vegemite kid. On toast every morning 😁
2026-03-02 10:32:31
73
jones_92745
jones_92745 :
Yep that's why I started taking a super B complex supplement and magnesium with everything else.
2026-02-13 12:40:48
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dashcraft_
>^•^< :
It’s easy to be low when one has celiac disease 🙋🏻‍♀️or another issue with the gut and absorption. Fortification is only effective if you have a gut that can properly absorb and use it.
2026-02-14 02:18:37
76
julesq6
Doodywong :
It's the soil. It's been over farmed and no longer has the minerals and vitamins that we need. Soil is going barren all over the world.
2026-03-22 01:19:58
5
justiceandjoy
Justice & Joy :
So many people with neuropathy
2026-02-13 12:07:37
56
romatomatilla
romatomatilla :
A huge portion of our bariatric patients are thiamine deficient
2026-03-07 00:08:55
13
crone_rising_69
Crone_rising_69 :
The soil is depleted of nutrients. That is why our food supply is lacking these things.
2026-03-08 19:05:50
6
taneashafrancis
Taneasha_Francis 📚✨ :
My body is not able to metabolize it properly, so I have to take cocarboxylase/thiamine pyrophosphate. Almost all doctors have thought I was crazy.
2026-02-14 18:51:34
35
howdy3456
Howdy :
if animals and humans are all deficient, doesn’t that mean the normal range is incorrect? Or did animals and humans previously have a higher level, and if so, why have they gone down?
2026-02-15 22:44:47
29
draprillam
Eve Telehealth :
I work with autistic children and we see this in these patients too
2026-02-15 15:56:17
16
psycho_therapy77
psycho_Therapy77 :
I had one. Also a Vit A deficiency which was causing anemia…yall need to get ALL ur vitamins tested
2026-02-14 22:07:10
10
bleedblueandorange
Gary Durkin Jr :
And it helps lactic acidosis from liver fx (even from low flow state)
2026-02-13 18:37:42
8
catcravy
Cathy :
I’m on thiamine as you have suggested. I’m looking forward to help with my IBS.
2026-02-21 18:51:44
14
melindadodge
Melinda Dodge :
I have MTHFR gene mutation and take a methylated folate/b12 vitamin along with adding lots of different beans and leafy greens to my diet. Are there any reasons why a regular b complex wouldn’t supply enough usable B1 to the body?
2026-02-17 15:22:32
14
golfandoptions
golfandoptions :
Really gonna need folks to start respecting Thiamine.
2026-02-13 02:10:10
10
prairied
🌚 :
Could it present as mcas/histamine intolerance?
2026-03-22 20:59:12
2
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