Megaloblastic Anemia · Pathology

What is the biochemical role of the 'folate trap' in Vitamin B12 deficiency?

  1. Folate is physically trapped in the stomach due to lack of acid
  2. Folate is stuck in the N5-methyltetrahydrofolate form
  3. Folate is excessively excreted in the urine
  4. Folate cannot be converted into dihydrofolate
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Correct answer: Folate is stuck in the N5-methyltetrahydrofolate form

Without Vitamin B12, folate cannot be converted from N5-methyltetrahydrofolate back into tetrahydrofolate. This 'traps' folate in a metabolically inactive form, effectively causing a functional folate deficiency even if folate levels are normal.

Difficulty: Medium Question 8 of 20

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