Evidence map›Paper›PMID 40283381›Full record

ReviewJournal of clinical medicine2025

Unraveling the Enigma: Food Cobalamin Malabsorption and the Persistent Shadow of Cobalamin Deficiency.

Emmanuel Andrès, Jean Edouard Terrade, María Belén Alonso Ortiz, Manuel Méndez-Bailón, Cosmina Ghiura, Chalène Habib, Thierry Lavigne, Xavier Jannot, Noel Lorenzo-Villalba

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emmanuel AndrèsService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.ORCID 0000-0002-7914-7616
Jean Edouard TerradeService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.
María Belén Alonso OrtizServicio de Medicina Interna, Hospital Universitario de Gran Canaria Dr Negrin, 35010 Las Palmas de Gran Canaria, Spain.
Manuel Méndez-BailónServicio de Medicina Interna, Hospital Universitario Clínico San Carlos, 28040 Madrid, Spain.ORCID 0000-0003-0830-8897
Cosmina GhiuraService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.
Chalène HabibService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.
Thierry LavigneService d'Hygiène Hospitalière, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.ORCID 0000-0002-5384-072X
Xavier JannotService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.ORCID 0000-0002-7166-9057
Noel Lorenzo-VillalbaService de Médecine Interne, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Food cobalamin malabsorption (FCM) represents a prevalent, often underdiagnosed, etiology of vitamin B12 deficiency, particularly within an aging population. Unlike pernicious anemia, an autoimmune disorder targeting intrinsic factor, FCM stems from the impaired release of cobalamin from food proteins, primarily due to age-related gastric changes, medication-induced gastric hypochlorhydria, metformin, or non-immune atrophic gastritis. The clinical presentation of FCM mirrors that of general cobalamin deficiency, encompassing a spectrum of neurological (peripheral neuropathy, cognitive decline), hematological (megaloblastic anemia), and gastrointestinal (glossitis, anorexia) manifestations. Given the potential for irreversible neurological sequelae, early detection and intervention are paramount. High-dose oral cobalamin (125-250 mcg daily) has demonstrated efficacy, offering a convenient and cost-effective alternative to parenteral administration.

Indexed as

cobalamin deficiencycobalamin treatmentfood cobalamin malabsorptionpernicious anemiavitamin B12 deficiency

Identifiers

PMID40283381
PMCPMC12027676

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.