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“Vitamin B12 requirements are low because we can store up to 2,500 micrograms in the liver,” says Ryan D. Andrews, R.D., C.S.C.S., principal nutritionist at Precision Nutrition. So target just ...
The B 12 vitamin is not abundantly available from plant products [4] (although it has been found in moderate abundance in fermented vegetable products, certain seaweeds, and in certain mushrooms, with the bioavailability of the vitamin in these cases remaining uncertain), [5] making B 12 deficiency a legitimate concern for those maintaining a ...
Vitamin B 12 is derived from a tetrapyrrolic structural framework created by the enzymes deaminase and cosynthetase which transform aminolevulinic acid via porphobilinogen and hydroxymethylbilane to uroporphyrinogen III. The latter is the first macrocyclic intermediate common to heme, chlorophyll, siroheme and B 12 itself.
A diagnosis of vitamin B 12 deficiency is determined by blood levels lower than 200 or 250 picograms per ml (148 or 185 picomoles per liter). Measurement of blood methylmalonic acid (MMA), a vitamin B 12 -associated metabolite, is a commonly used biomarker . [ 2 ]
Serum vitamin B 12 is a medical laboratory test that measure vitamin B 12 only in the blood binding to both transcobalamins. [1] Most of the time, 80–94% of vitamin B 12 in the blood binds to haptocorrin, while only 6–20% is binds to transcobalamin ll. [2] Only transcobalamin ll is "active" and can be used by the body. [1]
B-vitamins are primarily found in animal-based foods, making deficiencies more common among those with limited animal food intake due to cultural, religious, or economic reasons. For vegetarians, fortified foods can be a viable alternative to ensure adequate vitamin B12 levels, especially when reducing laxative use to improve absorption.
In a newly diagnosed vitamin B 12-deficient patient, normally defined as when serum levels are less than 200 pg/ml, daily IM injections of hydroxocobalamin up to 1,000 μg (1 mg) per day are given to replenish the body's depleted cobalamin stores. In the presence of neurological symptoms, following daily treatment, injections up to weekly or ...
Methylcobalamin is equivalent physiologically to vitamin B 12, [3] and can be used to prevent or treat pathology arising from a lack of vitamin B 12 intake (vitamin B 12 deficiency). Methylcobalamin is also used in the treatment of peripheral neuropathy , diabetic neuropathy , and as a preliminary treatment for amyotrophic lateral sclerosis .
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