Document Detail


Food-bound B12 absorption and serum total homocysteine in patients with low serum B12 levels.
MedLine Citation:
PMID:  9723575     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was undertaken to determine whether measurements of serum total homocysteine (Hcys) and bound B12 absorption are useful in determining which patients with low- or low-normal levels of serum B12 are B12 deficient. In 40 patients with low or borderline serum levels of B12, food-bound B12 absorptions were determined using a body counter in an iron room, and were related to serum total Hcys levels. Food-bound B12 absorption was decreased in 16 patients and in an additional four, absorption of the free vitamin was also decreased. Homocysteine levels were elevated in four of the 16; in three of the four who had both decreased bound and free B12 absorptions, Hcys was elevated. If elevation of the Hcys level indicates tissue deficiency of B12, the 75% incidence of normal levels of Hcys in these patients with low food-bound B12 absorptions suggests the existence of a cohort of patients who may be at risk to develop, but have not yet developed, B12 deficiency. Only long term follow-up will reveal how many ultimately will become B12 deficient.
Authors:
A Miller; D W Slingerland; C A Hall; R C Chu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of hematology     Volume:  59     ISSN:  0361-8609     ISO Abbreviation:  Am. J. Hematol.     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-09-22     Completed Date:  1998-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7610369     Medline TA:  Am J Hematol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  42-5     Citation Subset:  IM    
Affiliation:
Medical Service, VAMC, Boston, Massachusetts 02130, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Cell Count
Female
Folic Acid / blood
Food
Gastrins / blood
Homocysteine / blood*
Humans
Intestinal Absorption
Male
Middle Aged
Vitamin B 12 / blood,  pharmacokinetics*
Vitamin B 12 Deficiency / blood*
Chemical
Reg. No./Substance:
0/Gastrins; 454-28-4/Homocysteine; 59-30-3/Folic Acid; 68-19-9/Vitamin B 12

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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