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2008 - Communication Across the Curriculum (CAC)

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B i o l o g y<br />

86-9) and is sometimes referred to as <strong>the</strong> senility vitamin<br />

because it is essential for proper brain function and a deficiency<br />

usually always presents itself in a form of senility (Talbott 273). It<br />

is naturally syn<strong>the</strong>sized by micro organic bacteria in plant eating<br />

animals and <strong>the</strong>n stored in <strong>the</strong> animal’s tissues (McDougall 2).<br />

Therefore, <strong>the</strong> primary dietary source of B12 is from animal<br />

proteins, which a strict vegan diet does not contain (Koda-<br />

Kimble 86-9).<br />

Generally, an average human stores 4000µg of B12 in <strong>the</strong>ir<br />

body and uses 2µg per day (Koda-Kimble 86-9). At this rate, it<br />

is possible to live numerous years without depleting B12 stores<br />

or suffering <strong>the</strong> side effects of deficiency.<br />

Vitamin B12 deficiency is surprisingly very prevalent. In<br />

developing areas such as Africa, India, South and Central<br />

America it is very wide spread. This is mainly due to a lack of<br />

animal products being consumed among <strong>the</strong> poor. Obviously<br />

it is very common among vegetarians, also due to <strong>the</strong>ir lack of<br />

animal product consumption. The condition is also very wide<br />

spread among <strong>the</strong> elderly. However, generally among <strong>the</strong> elderly<br />

it is directly related to pernicious anemia as <strong>the</strong>ir bodies are no<br />

longer producing <strong>the</strong> needed amounts of intrinsic factor for B12<br />

absorption (Sethi).<br />

Treatment of <strong>the</strong> New Diagnosis:<br />

Pop was immediately administered an injection of 1000µg<br />

of vitamin B12. Within twenty-four hours he was sitting up<br />

unassisted and within forty-eight hours he had regained bladder<br />

and bowel control. By <strong>the</strong> end of <strong>the</strong> week he was able to play<br />

card games, read and talk on <strong>the</strong> phone (Bernstein).<br />

Simple ongoing supplementation of vitamin B12 is sufficient<br />

treatment for <strong>the</strong> deficiency. The most effective forms of<br />

B12 supplements for treating neurological deficiencies are<br />

methylcobalamin and hydroxycobalamin (McDougall 5).<br />

Dosages will vary according to <strong>the</strong> needs of individual patients.<br />

Initially, large quantity doses of 30-1000µg are administered<br />

intramuscularly for <strong>the</strong> purpose of replenishing tissue stores.<br />

Following this, a treatment regimen would generally entail daily<br />

doses for one week, <strong>the</strong>n reducing <strong>the</strong> quantity and frequency<br />

gradually until <strong>the</strong> patient’s B12 tissue stores are replenished<br />

and he is receiving a monthly maintenance dose (Koda-Kimble<br />

86-10).<br />

7<br />

W r i t i n g A c r o s s t h e C u r r i c u l u m

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