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Biomedical subjects

N H Wadia

Publications and source records attributed to N H Wadia.

53 records · Page 3Linked to original sources

Effect of vegetarianism and smoking on vitamin B12, thiocyanate, and folate levels in the blood of normal subjects.

Vitamin B(12), thiocyanate, and folate levels in the blood were estimated in 69 apparently normal subjects, of whom 26 were non-vegetarian non-smokers, 19 non-vegetarian smokers, 15 vegetarian non-smokers, and nine vegetarian smokers. The serum total (cyanide-extracted) B(12) level (value A) ranged from 105 to 728 pg/ml, with a mean of 292 pg/ml. The highest values were found in non-vegetarian non-smokers and the lowest in vegetarian smokers. There was no significant difference in value A between smokers as a group and non-smokers as a group. On the other hand, in vegetarians value A was very significantly lower than in non-vegetarians regardless of their smoking habits.It is suggested that A may represent both the protein-bound and free forms of vitamin B(12) in the blood, and B mainly the free B(12), which may be the physiologically active form. The plasma thiocyanate level varied from 1.0 to 15 mumol/100 ml, being, as expected, much higher in smokers (mean 8.20 mumol/100 ml) than in non-smokers (mean 2.02 mumol/100 ml). There was a rough correlation between falling B(12) levels and rising thiocyanate levels. The serum folate level ranged from 2.75 to 15.75 ng/ml, and was slightly but significantly higher in vegetarians (mean 6.60 ng/ml) than in non-vegetarians (mean 4.79 ng/ml), reflecting the greater content of folate in a vegetarian diet.

Cyanides↗

Role of vegetarianism, smoking, and hydroxocobalamin in optic neuritis.

Only 20 patients with optic neuritis of unknown aetiology could be collected in Bombay over a period of two and a half years. Only six of them were smokers and only three (one a non-smoker) had bilateral centrocaecal scotomata similar to those found in tobacco amblyopia. In 11 untreated patients the serum vitamin B(12) and plasma thiocyanate levels were estimated and found to show no significant differences from those in normal control subjects. Treatment with hydroxocobalamin in the majority of cases and with cyanocobalamin, corticotrophin, or prednisolone in the rest showed equally good results; spontaneous improvement was seen in one case.No significant role could be assigned to smoking (cyanide) or to vegetarianism in the production of optic neuritis in these patients; nor was there any evidence of depletion of total (cyanide-extracted) B(12) or of an increase in the proportion of non-cyanide-extracted B(12) in the serum.

Adolescent↗