Vitamin B12

Last Updated: March 16, 2024

Vitamin B12 is an essential water-soluble vitamin that plays a role in neurological function and is important for DNA synthesis.

Vitamin B12 is most often used for

What is vitamin B12?

Vitamin B12 is a water-soluble B vitamin that plays a crucial role in one-carbon metabolism and various metabolic processes in the body. It acts as a cofactor in the production of methionine, an amino acid that is essential for DNA synthesis.

What are vitamin B12’s main benefits?

Vitamin B12 is primarily used to combat general fatigue and may benefit individuals with myalgic encephalomyelitis (ME/CFS) and various types of neuropathy. It is also crucial during the first trimester of pregnancy to prevent neural tube defects, though its effectiveness for cognitive symptoms in neurodegenerative diseases and viral infections requires further research.

What are vitamin B12’s main drawbacks?

Vitamin B12 is generally safe and has low toxicity risk, but high levels may be associated with increased cancer risks, particularly prostate and lung cancer in certain populations. Additionally, the relationship between vitamin B12 and cardiovascular disease remains unclear, and conflicting evidence exists for its effect on mortality and outcomes.

How does vitamin B12 work?

Vitamin B12 is essential for various chemical reactions in the body, including the synthesis of methionine and the production of myelin sheaths around nerves, which are crucial for nerve signal transmission. A deficiency in vitamin B12 can lead to megaloblastic anemia and neurological symptoms, including peripheral neuropathy.

What are other names for Vitamin B12?
Note that Vitamin B12 is also known as:
  • Cyanocobalamin
  • Cobalamin
  • Methylcobalamin
  • 5-Deoxyadenosylcobalamin
  • 5-deoxyadenosylcobalamin
  • Cobamamide
  • Dibencozide
  • Hydroxocobalamin
Dosage information

The Recommended Daily Allowance (RDA) of vitamin B12 is 2.4 μg for adults without known health conditions. During pregnancy, the RDA increases to 2.6 μg.[1] For children 8 years and under, the RDA is 1.2 μg.[1] Supplementing with B12 is probably not helpful in people who are able to get enough of the vitamin through their diet and have no difficulty with absorption.

Supplements that are available over the counter contain 500–2000 μg of vitamin B12 per tablet. Long-term use is not recommended without monitoring of vitamin B12 levels.

For replenishing stores of vitamin B12, 1000 μg should be given by intramuscular injection three times per week for two weeks. This can then be done weekly for four weeks, then once monthly. In cases where absorption is not an issue, the maintenance dose can also be given orally.[2]

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References
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Examine Database References
  1. Fatigue Symptoms - Huijts M, van Oostenbrugge RJ, Rouhl RP, Menheere P, Duits AEffects of vitamin B12 supplementation on cognition, depression, and fatigue in patients with lacunar strokeInt Psychogeriatr.(2013 Mar)
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  3. Depression Symptoms - Markun S, Gravestock I, Jäger L, Rosemann T, Pichierri G, Burgstaller JMEffects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression.Nutrients.(2021-Mar-12)
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