A 37-year-old male with recently diagnosed macrocytic anemia is being evaluated for associated weakness, pain, numbness, and tingling in his feet and hands. He is treated with an intramuscular injection.

Which of the following possible cofactors, deficient in this patient, is directly involved in the metabolism of carbohydrates, amino acids, and fatty acids, and the formation of myelin?

A. Adenosyl cobalamin
B. Phospholipase
C. Cytochrome C
D. Methyl cobalamin



Answer :

Final answer:

The cofactor deficient in the patient is Methyl cobalamin, essential for metabolism and myelin formation.


Explanation:

Methyl cobalamin, also known as methylcobalamin, is the cofactor deficient in this patient. It is directly involved in the metabolism of carbohydrates, amino acids, and fatty acids, as well as in the formation of myelin which is crucial for nerve function.


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