Table 1.
Herbert’s hypothesis—differences between 1986 and 1994 models
Analyte | Model | Deficiency stage | ||||
---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | |||
1986 | Normal | Negative B12 balance | B12 depletion | B12-deficient erythropoiesis | B12-deficiency anaemia | |
1994 | Normal | Early negative B12 balance | B12 depletion | Damaged metabolism: B12-deficient erythropoiesis | Clinical damage: B12-deficiency anemia | |
HoloTC (pmol/L) | 1986 | >22 | <15 | <15 | <9 | <9 |
HoloTC (pmol/L) | 1994 | >37 | <30 | <30 | <30 | <30 |
TC saturation (%) | 1986 | >5 | <5 | <2 | <1 | <1 |
TC saturation (%) | 1994 | >5 | <4 | <4 | <4 | <4 |
HoloHC (pmol/L) | 1986 | >111 | >111 | <111 | <74 | <74 |
HoloHC (pmol/L) | 1994 | >133 | >133 | <111 | <74 | <74 |
MMA high | 1986 | No | No | No | ? | Yes |
MMA high | 1994 | No | No | No | ? | Yes |
tHcy high | 1986 | – | – | – | – | – |
tHcy high | 1994 | No | No | No | Yes | Yes |