Vitamin B12

  • reserves last 5 years
  • only found in animal products
  • cofactor for the conversion of homocysteine into methionine
  • cofactor for the isomerization of methylmalonyl CoA to Succinyl Co A

absorption

  • ingested form - bound to R protein
  • separated from R protein in duodenum by pancreatic proteases
  • binds to intrinsic factor (secreted by gastric parietal cells)
  • B12-IF complex binds to receptors in terminal ileum → uptake by endocytosis
  • processed by liver

deficiency

clinical presentation

  • neuropathy