US RDA
2.4 mcg daily
Effective dose
500 to 1,000 mcg daily for supplementation (vegans, older adults, absorption issues)
Upper limit
No established upper limit. Excess excreted.
Timing
Morning, sublingual for better absorption
With food
Optional
Bioavailability
Methylcobalamin > cyanocobalamin (though both effective)
Best forms to buy
Methylcobalamin
Active form, best for methylation issues
Adenosylcobalamin
Second active form
Cyanocobalamin
Cheap, requires body to convert
Hydroxocobalamin
Long-acting, injection form
Signs of deficiency
- · Fatigue
- · Tingling in hands and feet
- · Cognitive fog
- · Depression
- · Anemia
Drug interactions
- · Metformin, PPIs, and H2 blockers reduce B12 absorption over years
Toxicity
None known.