Orientation · Class 35 · 10 min
The B-vitamin cascade
A read of this page, with the plate.


Class 33 named the letters. Class 34 named the hand-off. Tonight the cofactors that let those cascades run. Vitamins are cofactors. B-vitamins are water-soluble. D, E, A, K are oil — they wait. The B-vitamin cascade is interdependent. It starts with B-6 as P-5-P, required to make the intrinsic factor that carries B-12. B-12 and folic as THFA allow biotin. Biotin allows PABA. PABA allows pantothenic. Pantothenic allows riboflavin. The others come in without this chain. If a later B will not, walk Chart 1-1 first. Choline and inositol sit beside it. A plan, megaloblastic anemia, chemo already chosen, pregnancy, a seizure, a child, a named bottle: you stop. P-5-P, folic, B-12, biotin, PABA, B-5, B-2, choline, inositol stay names. You do not unwrite a pharmaceutical.
Practice
Name the first step. Name who waits on whom. Journal the door that was loud. Do not prescribe a list.
Check
Chart 35-1 on orientation:
- Never prints
- Prints first — Chart 1-1 the index leads with ✓
- A dose of the cascade
That's the work.
The card that opens:
- P-5-P on a Class 15 homocysteine step
- P-5-P on the B-vitamin cascade — Chart 35-1 ✓
- Four OA tabs
That's the work.
Chart 1-1 starts with:
- Riboflavin
- B-6 as P-5-P — required for the capsule that carries B-12 ✓
- Oil-soluble A
That's the work.
If a later B will not:
- Prescribe the one that is missing
- Walk Chart 1-1 first ✓
- Baptize a vegan plate
That's the work.
B-12 and folic:
- One dose
- Allow biotin as THFA ✓
- Skip the capsule
That's the work.
Choline and inositol:
- The first step
- Sit beside Chart 1-1 ✓
- Homocysteine
That's the work.
Four influence tabs:
- Stay
- Cut to Chart 1-1 card ✓
- OA tyrosine
That's the work.
A named bottle:
- You unwrite
- You stop ✓
- 35-3
That's the work.
You do not write a dose from this practice because:
- The map is Chart 1-1 ✓
- A blood titer is a doctor's number
- Course 34 said so
That's the work.
Intrinsic factor waits on:
- Riboflavin
- P-5-P ✓
- PABA
That's the work.