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Article Synopsis
  • Vitamin B12 deficiency can lead to serious neurological issues, including developmental and epileptic encephalopathy, which is rare in infants.
  • A case study presented an 11-month-old girl experiencing severe seizures and developmental delays caused by a mutation in the FUT2 gene that affects vitamin B12 absorption.
  • Following diagnosis, she was treated with intramuscular hydroxocobalamin, highlighting the importance of identifying genetic causes of vitamin deficiencies in similar cases.
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Article Synopsis
  • Photodegradation of drug substances can produce both known and unknown products that interfere with analytical results due to absorption at certain wavelengths.
  • The study focuses on improving the accuracy of measurements for methylcobalamin (MC) and hydroxocobalamin by applying linear and non-linear methods to correct for irrelevant absorbances during photolytic degradation involving ascorbic acid (AH).
  • Methylcobalamin shows first-order degradation kinetics, with the degradation rate being pH-dependent; it peaks at pH 5.0 when in the presence of ascorbic acid, whereas degradation slows down in more alkaline conditions.
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Background: An increasing number of adult individuals are at risk of vitamin B12 deficiency, either from reduced nutritional intake or impaired gastrointestinal B12 absorption.

Objective: This study aims to review the current best practices for the diagnosis and treatment of individuals with vitamin B12 deficiency.

Methods: A narrative literature review of the diagnosis and treatment of vitamin B12 deficiency.

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Cyanide represents a persistent threat for accidental or malicious misuse due to easy conversion into a toxic gas and access to large quantities through several industries. The high safety index of hydroxocobalamin is a cornerstone quality as a cyanide scavenger. Unfortunately, intravenous infusion of hydroxocobalamin limits the utility in a mass casualty setting.

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Article Synopsis
  • Vitamin B12 (cobalamin) metabolism disorders lead to different health issues based on where the metabolic pathway is disrupted, resulting in conditions like combined methylmalonic acidemia and homocystinuria or isolated forms of these diseases.* -
  • A study was conducted on patients with these disorders over 23 years, revealing varied clinical presentations, such as severe symptoms at birth or developmental delays, highlighting the diverse impact of these conditions.* -
  • The findings align with existing literature on these disorders, emphasizing the need for early diagnosis and tailored treatments, such as betaine or hydroxycobalamin, which were administered to all patients in the study.*
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