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Vitamin B 12, also known as cobalamin, is a water-soluble vitamin involved in metabolism. [2] It is one of eight B vitamins.It is required by animals, which use it as a cofactor in DNA synthesis, and in both fatty acid and amino acid metabolism. [3]
Cyanocobalamin is a form of vitamin B 12 used to treat and prevent vitamin B 12 deficiency except in the presence of cyanide toxicity. [7] [8] [2] The deficiency may occur in pernicious anemia, following surgical removal of the stomach, with fish tapeworm, or due to bowel cancer.
Hydroxocobalamin is the natural form of vitamin B 12 and a member of the cobalamin family of compounds. [6] [7] It is found in both raw and cooked beef, together with other cobalamins. [8] Hydroxocobalamin, or another form of vitamin B 12, are required for the body to make DNA. [7] Hydroxocobalamin was first isolated in 1949. [9]
Vitamin B12 does also accumulate in a few plant-based sources, including some mushrooms, seaweed, and nutritional yeast, but not enough to fortify vegans, who, in particular, should consider being ...
There are not enough studies on whether pills are as effective in improving or eliminating symptoms as parenteral treatment. [12] Folate supplementation may affect the course and treatment of pernicious anemia if vitamin B 12 not replaced. [65] In some severe cases of anemia, a blood transfusion may be needed to resolve haematological effects. [5]
Treatment should take into account the cause and severity of the condition. [6] Treatment is done by vitamin B 12 supplementation, either by mouth or by injection. [3] Initially in high daily doses, followed by less frequent lower doses, as the condition improves. [3] If a reversible cause is found, that cause should be corrected if possible. [11]
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