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Living with Transcobalamin I deficiency

A rare genetic condition with low levels of a vitamin B12 carrier protein, usually with no symptoms.

Understanding Transcobalamin I deficiency

Transcobalamin I deficiency is a rare genetic condition with low levels of transcobalamin I, a protein that carries vitamin B12 (cobalamin) in the blood.

GARD describes it as benign. Blood levels of B12 may be low or very low, but other related blood tests are normal and there is no megaloblastic anemia. People are typically without symptoms. It is seen in adults and older adults.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet.

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What do my low B12 test results mean for me?
Do I need any follow-up testing?
Would genetic counseling help our family?

Quick facts

Symptoms usually startAdult and as an Older Adult
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes (variants) cause this condition. It lists both autosomal dominant and autosomal recessive inheritance and doesn't name a specific gene.

GeneticInherited Metabolic

Also known as: cobalamin pseudodeficiency due to transcobalamin deficiency; cobalamin r binder protein deficiency; haptocorrin deficiency; r-binder deficiency; tci deficiency; tcn1 deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Transcobalamin I deficiencyGARD ID 4522 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Transcobalamin I deficiency.

Explore the Transcobalamin I deficiency blog

Explore research for Transcobalamin I deficiency

Explore actively recruiting Transcobalamin I deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Transcobalamin I deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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