A Dual Mechanism of Vitamin B12 Plasma Absorption1

Abstract
Comparison between the plasma absorption curves in control subjects and patients with pernicious anemia after the administration of radio-labeled vitamin B12 suggests a dual mode of absorption depending upon the size of the test dose. A delayed peak of plasma radioactivity found with test doses of 0.56 [mu]g was dependent upon intrinsic factor and was lacking in patients with pernicious anemia. An earlier rise in plasma radioactivity was found with test doses of 50-500 [mu]g. This earlier rise was independent of intrinsic factor and was present in normal subjects as well as in patients with pernicious anemia.