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For children ages 1–13 years, the RDA increases with age from 0.9 to 1.8 μg/day. Because 10 to 30 percent of older people may be unable to effectively absorb vitamin B 12 naturally occurring in foods, those older than 50 years should meet their RDA mainly by consuming foods fortified with vitamin B 12 or a supplement containing vitamin B 12.
The same cells in the stomach that produce gastric hydrochloric acid, the parietal cells, also produce a molecule called the intrinsic factor (IF), which binds the B 12 after its release from haptocorrin by digestion, and without which only 1% of vitamin B 12 is absorbed. Intrinsic factor (IF) is a glycoprotein, with a molecular weight of 45 kDa.
In pigs it is obtained from the pylorus and beginning of the duodenum; [12] in human beings it is present in the fundus and body of the stomach. [ 13 ] The limited amount of normal human gastric intrinsic factor limits normal efficient absorption of B 12 to about 2 μg per meal, a nominally adequate intake of B 12 .
Folate (Vitamin B9) is absorbed in the duodenum and jejunum. Vitamin B12 and bile salts are absorbed in the terminal ileum. Vitamin B12 will only be absorbed by the ileum after binding to a protein known as intrinsic factor. Water is absorbed by osmosis and lipids by passive diffusion throughout the small intestine.
Vitamin B 12 cannot be produced by the human body, and must be obtained from the diet. [2] The body normally gets enough vitamin B 12 from the consumption of foods from animal sources. [2] Inadequate dietary intake of animal products such as eggs, meat, milk, fish, fowl (and some types of edible algae) can result in a deficiency state. [135]
Once you get an evaluation, a doctor will usually order a blood test to check for a vitamin B12 deficiency, along with other potential factors that could cause dementia-like symptoms, Sachdev says.
In humans most cobalt is found in Vitamin B12.A cobalt atom is visible in the center in this diagram. Cobalt is essential to the metabolism of all animals.It is a key constituent of cobalamin, also known as vitamin B 12, the primary biological reservoir of cobalt as an ultratrace element.
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 ...
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