Cobalt is necessary for vitamin B12 activity and is incorporated into its corrin ring. It is present in two coenzymes involved in methylation reactions. A cobalt deficiency results in vitamin B12 deficiency and megaloblastic anemia. Chromium facilitates glucose metabolism and lipid transport as part of its role in insulin function. It lowers cholesterol and raises HDL levels. Nickel activates some enzymes while inhibiting others and is required for growth, but deficiency in humans is unknown. Toxicity of excess amounts can damage organs.