I wrote this as an answer to another post, but thought it worth posting for all to see. I'm no scientist or medic, I'm just trying to understand some of the nitty gritty and interpret the jargon. Please do say if I've got it wrong or right.
'As I understand it vitamin B12 is essential for accurate DNA replication.
When DNA unzips and copies itself, errors can occur. If these are not fixed, mutation can be replicated. If errors are too great the cell dies - Apoptosis, if they don't you can have the start of cancer.
Thankfully, usually the body just cleans these dead cells away, with no inflammatory response, in fact in apoptosis cells can release soothing enzymes, so the immune system doesn't wake up.
But that unfortunately doesn't happen when the wrong sort of Caspase is activated.
This is where the science starts to go way over my head. nature.com/articles/s41418-...
Caspase is a form of protein that uses cystine to cleve peptide bonds, to break up dead cell structure. Some are calmed and some are stimulated by vitamin B12.
Too much Caspase - 3 and you provoke the immune system....... I think, do please tell me if I'm wrong!
Cystine is recycled from homocysteine in the liver in a process using vitamins B12, B9 and B6.
The immune system itself needs vitamin B12 to create 'killer' T cells.
Also...
"Vitamin B12 can be considered an endogenous negative regulator of nuclear transcription factor-κB (NFκB) through the regulation of nitric oxide, which plays a key role in regulating the immune response to infection."
pmc.ncbi.nlm.nih.gov/articl...
So that can go someway to explain why inflammation is caused by vitamin B12 deficiency and can get worse after we finally get enough.
And we are tired out because B12 is needed to generate ATP, the energy for all bodily functions , in mitochondria.
(Human liver cells: Contain 1,000–2,000 mitochondria per cell
Heart muscle cells: Contain about 5,000 mitochondria per cell
Human egg cells: Contain the highest concentration of mitochondria per cell, with estimates ranging from 100,000 to 100,000,000 )
The more I go down the cobalamin rabbit hole the more I am amazed to see how it is used in every single complex function of our bodily processes. '