Dementia is a scary thought, and it’s something many of us worry about as we get older. But what if there was a simple, everyday vitamin that could help protect your brain and keep it sharp? This article based on the insights of Dr. Liu Jia-Yia, explores the surprising truth about a key nutrient, Thiamine (Vitamin B1), and how its deficiency can lead to serious health issues, including dementia. We’ll also look at other important vitamins and nutrients that play a big role in brain health and overall longevity.
The Hidden Danger of Thiamine Deficiency
It’s pretty wild to think that in a country like America, with all our fancy medicines and supplements, we’re still seeing a rise in chronic diseases, including dementia. We often hear it’s just part of getting old, but then you look at places like Singapore, where dementia rates are actually going down. This makes you wonder what they’re doing differently.
There’s one particular vitamin, Thiamine (Vitamin B1), that’s super important. If you run out of it, you’re not just looking at dementia; you could also face heart failure. And get this: you only have about two weeks before your body starts really struggling without it. This isn’t just some theory; there’s a lot of history and research that backs this up. It’s so important that the government actually adds it to some of our foods, like cereals and bread, without us even realizing it. They do this because history has shown just how vital it is.
Key Takeaways
- Thiamine is essential: It’s a critical vitamin for converting carbohydrates and fats into energy for your body.
- Fortification isn’t enough: Even though some foods are fortified with Thiamine, the amount might not be enough, especially with modern cooking methods and other things that deplete our body’s stores.
- Processed foods are a problem: Many processed foods, like white rice, are stripped of their natural Thiamine, and even when fortified, they might not provide enough.
The Problem with Processed Foods

It’s ironic, isn’t it? We fortify foods like white rice with Thiamine, but if we just left brown rice alone, it would already have that Thiamine. White rice, which many people think of as a natural, ancient food, is actually a highly processed product. It’s made by removing the bran, which contains the Thiamine, to extend its shelf life and make it taste softer and easier to cook. This process makes it an ultra-processed food, even if it’s been around for a long time.
Think about it: in ancient times, only wealthy people ate white rice. Most people ate whole grains. And when you don’t have enough Thiamine, your brain doesn’t work as well, which can lead to bad decisions. History is full of examples where people suffered greatly from Thiamine deficiency due to eating processed white rice.
White rice also has a lot more arsenic than other grains. If you’re going to eat it, you should rinse it several times and dump out the water after it boils. This can reduce the arsenic by a good amount, but it also washes away some of the water-soluble Thiamine. So, even with fortification, it’s still a nutrient-deficient food.
The Silent Drain: How We Deplete Thiamine
Thiamine deficiency doesn’t usually happen overnight. It’s like credit card debt: it builds up over time from consistently running low. Many of us experience fatigue, forgetfulness, low energy, and bad moods, and we might reach for sugary foods or caffeine to feel better. But often, the real culprit is a lack of Thiamine.
Our modern lifestyles and diets are constantly draining our Thiamine stores. Here are some common ways:
- Alcohol: Drinking alcohol, even red wine, turns into a toxin called acetaldehyde in your liver. This toxin is not only bad for you but also reduces your body’s ability to absorb Thiamine by at least 50%. So, even if beer is fortified with B1, you won’t absorb most of it.
- High-Temperature Cooking: Baking and other high-temperature cooking methods destroy Thiamine. If you add baking soda or other alkaline ingredients, it degrades Thiamine even more. Since Thiamine is water-soluble, boiling foods and then throwing away the water also means you’re throwing away the Thiamine.
- Coffee and Tea: These can act as diuretics, making you pee out more Thiamine, and their tannins can also degrade it.
- Raw Seafood: Some raw seafood contains enzymes called thiaminases that break down Thiamine in your gut, preventing you from absorbing it.
- Preservatives: Foods with high sulfites, whether added or natural (like in wine), can destroy Thiamine.
Medications and Thiamine Absorption
It’s not just food and lifestyle choices that affect your Thiamine levels. Many common medications can also interfere with its absorption or increase its excretion:
- Antacids and Proton Pump Inhibitors: These medications, often used for indigestion or heartburn, reduce your stomach acid, which is needed to absorb Thiamine. This might be why there’s a higher risk of dementia linked to long-term use of these drugs.
- Diuretics: If you’re taking medications that make you pee more, you’re also increasing the amount of Thiamine your body gets rid of.
- Metformin: This drug, often used for diabetes and sometimes even for longevity, reduces Thiamine absorption. While these medications can be life-saving, they shouldn’t be a permanent solution without addressing the underlying issues.
The Kidney Connection and Other Factors

Your kidneys play a big role in keeping your Thiamine levels balanced. If you have kidney issues, your body might get rid of Thiamine faster. And here’s a kicker: many people with kidney disease don’t even know they have it. High blood pressure, which affects half the US population, is a major cause of kidney damage. And what’s the number one cause of high blood pressure? Too much sodium, often found in refined flour products like bread.
Other factors that can impact Thiamine include:
- Heavy Metals: Lead and mercury can stop your body from using Thiamine properly.
- Gut Problems: Chronic diarrhea or inflammatory bowel disease can reduce your ability to absorb Thiamine.
- Aging: As you get older, your stomach produces less acid, which is needed to convert Thiamine into its usable form.
Beyond Thiamine: Other Longevity Vitamins
While Thiamine is incredibly important, it’s not the only player in the game of longevity and brain health. Recent research from places like Switzerland, a country known for its longevity, highlights the importance of other nutrients:
- Vitamin D: This isn’t just for strong bones; it’s actually a hormone that affects almost every cell in your body, including your brain. Low Vitamin D levels are linked to memory loss, reduced thinking skills, and a higher risk of dementia. It helps clear harmful plaques in the brain, supports mood by influencing serotonin, and helps regulate neurotransmitters for focus and learning. To properly use Vitamin D, you also need other nutrients like magnesium, Vitamin K2, zinc, and boron.
- Omega-3 Fats: Your brain is about 60% fat, and a lot of that is DHA, a type of Omega-3. These fats are crucial for brain cell structure and communication between neurons. Higher levels of DHA are linked to better memory and faster thinking. Omega-3s also reduce brain inflammation and protect neurons from damage. Another Omega-3, EPA, helps regulate neurotransmitters that affect happiness and motivation. Low levels of Omega-3s are strongly linked to depression, anxiety, and poor sleep quality.
It’s clear that getting enough of these essential nutrients is vital for brain health and overall well-being. While supplements can be helpful, the best approach is to focus on a diverse diet rich in whole foods. It’s about giving your body the right tools to thrive, not just patching things up when they go wrong. By understanding how these vitamins work and what depletes them, we can make better choices for a healthier, sharper future.