Question

Vitamins-
Vitamin B12 : Cyanocobalamin

35 yr old man who had a partial gastrectomy 1 year ago due to severe gastric ulcer disease presented to Dr. Franklin’s clinic with complaints of loss of balance while walking, confusion, weight loss and the eyes and palms of his hands look very pale (anemic). He has also been taking alcohol and cigarette for the past 10 years. He only consumes plant products. The Doctor diagnosed a vitamin deficiency.
Questions

5. Give 3 reasons why this man developed this vitamin deficiency?

6. What other class of vitamins do you know?

7. What pigment produced in the liver is very important in the digestion and absorption of this other class of vitamins you mention in question 6?

8. What abdominal organ stores this pigment you mentioned in question 7?

Answer 1

5. this man developed this vitamin deficiency of Vitamin B12: Cyanocobalamin because

- He had a partial gastrectomy 1 year ago (Due to alteration of the digestive tract the natural absorption of vitamin altered )

- He is alcoholic (Alchohol interfere in vitamin absorption)

- He only consumes plant products (Vit B 12 is found in Animal products)

6.

There are Two class of vitamins

A. Water-soluble vitamin

Vitamin B complex and Vitamin C

B. Fat-soluble Vitamine

Vitamine A, D, E, K

7.

Bile pigment produced in the liver is very important in the digestion and absorption of this fat-soluble of vitamins.

8.

Bile stores in Gall's bladder.