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