We explored the effects of vitamin B12 deficiency on neurological health in elderly patients. In a case study involving two patients, we observed that even with normal B12 levels, symptoms like fatigue and cognitive impairment persisted, especially in those with significant medical histories.
Treatment with hydroxocobalamin injections led to notable improvements in both patients’ cognitive and motor functions. This highlights the importance of recognizing vitamin B12 deficiency in older adults, even when traditional tests suggest adequate levels.
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7
Vitamin B12 aids in neuropathy recovery
Subacute combined degeneration of the spinal cord with cerebellar lesions: A case report.
We explored a case involving a 41-year-old woman who experienced unstable walking due to a vitamin B12 deficiency. Her symptoms were related to subacute combined degeneration of the spinal cord, which affected her nerve health.
After starting vitamin B12 treatment, we observed significant improvements in her limb weakness and overall muscle strength, recovering to a notable level. This case highlights the critical importance of early diagnosis and intervention for vitamin deficiencies to prevent irreversible nerve damage.
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9
Methylcobalamin shows high bioavailability
Pharmacokinetic profiles of methylcobalamin in rats after multiple administration routes by a simple LC-MS/MS assay with a small volume of plasma.
We investigated how methylcobalamin, a form of vitamin B12, affects neuropathy by exploring its pharmacokinetics in rats. Our study utilized a straightforward method to assess the levels of methylcobalamin in the bloodstream using just a drop of plasma.
Under controlled conditions, we extracted methylcobalamin from rat plasma and developed an efficient assay using liquid chromatography and tandem mass spectrometry. The results showed that methylcobalamin was effectively quantified even at low concentrations, demonstrating the robustness of our approach.
We administered methylcobalamin through various routes—intravenous, intramuscular, and subcutaneous—to evaluate its bioavailability. Our findings revealed that methylcobalamin demonstrates high bioavailability, particularly after intramuscular and subcutaneous injections, significantly supporting its potential effectiveness in treating peripheral neuropathies.
Overall, this study suggests that methylcobalamin could be a valuable treatment option for neuropathy, providing a basis for further research into its benefits for those suffering from nerve-related conditions.
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Most Useful Reviews
10
Miraculous cat recovery
7 people found this helpful
This worked wonders for my diabetic cat, whose neuropathy made him visibly pained in his feet. After reading about the Methyl form of B12, I tried it, and within two days, he went from hobbling to chasing toys. I give him one capsule twice a day mixed with food, and the price is excellent, especially with a subscription.
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9
Affordable and effective
4 people found this helpful
Affordable and effective. I feel revitalised with these; do not waste time or money on other brands like I did for the past two years. I have chemotherapy-induced peripheral neuropathy and these are very effective and affordable—a necessity for me. I’m grateful to have found them after much trial and error. Five stars.
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9
Cat's mobility improved
3 people found this helpful
I bought methylcobalamin for my diabetic cat suffering from hind limb neuropathy. He had a wobbly gait and struggled to walk normally. After four months on B12 and methylfolate, I noticed significant improvement after about a month, and his condition continues to get better. I will keep purchasing this supplement.
We examined a unique case involving a 33-year-old woman with HIV who experienced sudden vision loss linked to vitamin B12 deficiency. Initially treated with B12 tablets for severe peripheral neuropathy, her condition escalated to optic neuritis. Upon diagnosis, she received prednisolone and daily B12 injections. After five months of this treatment, she reported a significant recovery in her vision. This case highlights the importance of recognizing vitamin B12 deficiency’s potential eye-related symptoms, especially in patients with underlying health conditions like HIV, to ensure timely intervention.
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9
Methylcobalamin shows high bioavailability
Pharmacokinetic profiles of methylcobalamin in rats after multiple administration routes by a simple LC-MS/MS assay with a small volume of plasma.
We investigated how methylcobalamin, a form of vitamin B12, affects neuropathy by exploring its pharmacokinetics in rats. Our study utilized a straightforward method to assess the levels of methylcobalamin in the bloodstream using just a drop of plasma.
Under controlled conditions, we extracted methylcobalamin from rat plasma and developed an efficient assay using liquid chromatography and tandem mass spectrometry. The results showed that methylcobalamin was effectively quantified even at low concentrations, demonstrating the robustness of our approach.
We administered methylcobalamin through various routes—intravenous, intramuscular, and subcutaneous—to evaluate its bioavailability. Our findings revealed that methylcobalamin demonstrates high bioavailability, particularly after intramuscular and subcutaneous injections, significantly supporting its potential effectiveness in treating peripheral neuropathies.
Overall, this study suggests that methylcobalamin could be a valuable treatment option for neuropathy, providing a basis for further research into its benefits for those suffering from nerve-related conditions.
Read More
8
Pernicious anemia and B12 treatment
A long-standing undiagnosed case of vitamin B12 deficiency: a case report.
We examined the case of a 40-year-old woman suffering from a decade of vague symptoms, including pain and cognitive issues, before being diagnosed with vitamin B12 deficiency due to pernicious anemia.
Despite low B12 levels showing no typical signs of anemia, the use of parenteral B12 treatment led to her neurological improvement. This case reinforces how vital it is to recognize B12 deficiency even when classic symptoms aren't present, ensuring timely treatment to avoid serious complications.
Read More
8
Vitamin B12 improves diabetic neuropathy
The Effectiveness of Steroid Versus Vitamin Therapy in the Improvement of Extraocular Movements in Patients With Diabetic Cranial Nerve Palsy: A Comparative Study.
We explored the effectiveness of steroid treatment versus vitamin B12 therapy for improving diabetic ocular nerve palsy. Our study involved fifty participants, with half receiving steroids and the other half vitamin B12 injections.
After assessing ocular movements at various intervals, we found that the vitamin B12 group experienced a greater improvement than the steroid group. This suggests that vitamin therapy could play a significant role in enhancing eye movement and addressing underlying nutritional deficiencies.
Ultimately, vitamin B12 therapy presents a promising option for those with diabetic mononeuropathies.
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8
Vitamin B12 treatment shows promise
Correlation Between Nitrous Oxide and Functional Vitamin B12 Deficiency Resulting in Subacute Combined Degeneration of the Spinal Cord: A Case Report.
We explored the connection between nitrous oxide use and vitamin B12 deficiency, specifically focusing on neurological issues like peripheral neuropathy. Through a reported case of nitrous oxide-induced subacute combined degeneration of the spinal cord, we identified a functional B12 deficiency despite normal serum levels.
The good news is that treatment with intramuscular vitamin B12 showed notable clinical improvement. This suggests that B12 may be beneficial for those with similar deficiencies related to nitrous oxide exposure.
This worked wonders for my diabetic cat, whose neuropathy made him visibly pained in his feet. After reading about the Methyl form of B12, I tried it, and within two days, he went from hobbling to chasing toys. I give him one capsule twice a day mixed with food, and the price is excellent, especially with a subscription.
Read More
9
Affordable and effective
4 people found this helpful
Affordable and effective. I feel revitalised with these; do not waste time or money on other brands like I did for the past two years. I have chemotherapy-induced peripheral neuropathy and these are very effective and affordable—a necessity for me. I’m grateful to have found them after much trial and error. Five stars.
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9
Cat's mobility improved
3 people found this helpful
I bought methylcobalamin for my diabetic cat suffering from hind limb neuropathy. He had a wobbly gait and struggled to walk normally. After four months on B12 and methylfolate, I noticed significant improvement after about a month, and his condition continues to get better. I will keep purchasing this supplement.
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9
Pain relief effective
1 people found this helpful
I take B12 for peripheral neuropathy and find Doctor's Best the most reliable brand. This supplement reduces neuropathy-related pain and 'electric shock' sensations effectively. The quality of their products is consistently high, and I appreciate the convenient flip lid on their containers.
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9
Tremendous help noted
1 people found this helpful
I love this vitamin brand, which has helped my neuropathy tremendously. However, one of the two recently ordered bottles arrived with tampering signs. Despite that, it doesn’t deter me from future purchases, as I can easily exchange the problematic bottle.
Neuropathy refers to a condition characterized by damage or dysfunction of the peripheral nerves, which are essential components of the nervous system that relay information between the brain and spinal cord and the rest of the body. This can result in a variety of symptoms, including pain, tingling, numbness, weakness, or impaired coordination, predominantly affecting the hands and feet. Neuropathy can stem from various causes, such as diabetes, infections, autoimmune diseases, exposure to toxins, and certain medications. The impact on daily life can vary, with some individuals experiencing minimal interference, while others may find their condition debilitating.
Treatment for neuropathy generally focuses on managing symptoms and addressing the underlying cause. Options may include medications like pain relievers, anticonvulsants, and topical treatments, as well as physical therapy and lifestyle modifications. In certain cases, addressing the root cause, such as controlling blood sugar levels for diabetic neuropathy, can significantly improve symptoms. If you suspect you may have neuropathy, it’s crucial to consult with a healthcare professional for a proper diagnosis and tailored treatment plan.
Vitamin B12, also known as cobalamin, is a water-soluble vitamin that plays a crucial role in several vital functions in the human body. It is essential for red blood cell formation, neurological function, and DNA synthesis. Naturally occurring in animal products, the vitamin can be found in high concentrations in meat, fish, eggs, and dairy, making it particularly important for those following a vegetarian or vegan diet, as plant-based sources of B12 are limited and often require supplementation.
A deficiency in vitamin B12 can lead to serious health issues, including anemia, fatigue, memory problems, and nerve damage. Due to its significance, it's crucial for individuals, particularly those at risk of deficiency, to ensure adequate intake through diet or supplementation. For most adults, the recommended daily allowance (RDA) is around 2.4 micrograms, though pregnant or breastfeeding women may require higher amounts. If you're considering B12 supplements, it's advisable to consult with a healthcare provider to determine the best option for your specific needs and health status.
Vitamin B12 is often discussed in relation to neuropathy, particularly because deficiencies can lead to nerve damage and neurological issues. Supplementation with B12 may help alleviate symptoms associated with neuropathy, especially in individuals who have low levels of the vitamin. Symptoms may include tingling, numbness, or pain in the extremities, which can be quite disruptive to daily life. Therefore, if you suspect that your neuropathy may be related to a B12 deficiency—common among vegetarians, vegans, and older adults—it might be beneficial to consult with a healthcare professional about incorporating B12 into your regimen.
However, it’s important to note that while B12 may help with neuropathy caused by deficiency, it might not be effective for neuropathy resulting from other causes, such as diabetes or chemotherapy. In such cases, the underlying condition needs specific treatment. Always consult with a healthcare provider before starting any new supplement, as they can help determine the best course of action for your particular situation and ensure it fits well with your overall health plan.
Based on user reviews, the time it takes to see results from B12 supplements for neuropathy can vary, but many users report significant improvements within a relatively short period. For instance, one user noted noticeable benefits after just ten days of use for peripheral neuropathy, which dramatically reduced numbness in their fingertips Read Review. Another user experienced significant improvements in their diabetic cat's condition after approximately one month Read Review.
Additionally, several users have emphasized the effectiveness of the supplements in alleviating neuropathy-related pain and sensations, suggesting that positive changes can happen quite quickly, typically within a few weeks. While some users choose to regularly incorporate B12 into their routine, the general consensus appears to be that many individuals notice a positive impact on their neuropathy symptoms within a month of consistent use Read ReviewRead Review.
Vitamin B12 supplementation is increasingly recognized for its potential benefits in treating neuropathy, particularly when associated with deficiencies. Numerous studies suggest that vitamin B12 plays a critical role in neurological health, with specific case studies highlighting its effectiveness in improving symptoms of peripheral neuropathy. For instance, research has shown that vitamin B12 treatment led to notable neurological improvements in cases where patients presented with deficiencies, even when traditional tests indicated normal levels of the vitamin [1]. Additionally, a clinical investigation indicated that diabetic patients receiving a combination of nutrients, including vitamin B12, experienced significant improvements in neuropathic symptoms [6].
Moreover, emerging evidence points to far-reaching implications for patients experiencing neuropathy due to various causes, including nitrous oxide abuse, which has been linked to functional vitamin B12 deficiency and subsequent neurological complications [12]. However, while the positive impact of vitamin B12 is evident, some research calls for more comprehensive studies to firmly establish definitive treatment protocols, especially in more complex conditions where multiple deficiencies or syndromes are involved [12]. In conclusion, while vitamin B12 appears to provide promising support for neuropathy management, particularly in cases of deficiency or complex pathologies, further research is essential for granular understanding and tailored treatment approaches.
Based on user reviews, many individuals have reported significant improvements in their neuropathy symptoms after using B12 supplements. For instance, one user noted that after four months of providing methylcobalamin to their diabetic cat, they observed substantial progress within a month, leading to a noticeable enhancement in mobility Read Review. Another user experienced a dramatic reduction in "electric shock" sensations associated with peripheral neuropathy, attributing this relief to consistent use of the supplement Read Review.
Moreover, several reviews highlight fast-acting benefits, with one user reporting improvement in fingertip numbness within just ten days Read Review. Users have emphasized not only the alleviation of pain but also the overall enhancement in quality of life, as evidenced by claims of preventing neuropathy symptoms in their pets or improving personal energy levels and nerve function Read ReviewRead Review. Collectively, while anecdotal results can differ, a significant number of users affirm the impact of B12 supplements in managing their neuropathy symptoms effectively.
Based on user reviews, many individuals have reported positive experiences when combining B12 supplements with other dietary aids for managing neuropathy. Several users highlighted the effectiveness of including methylfolate alongside B12, which resulted in noticeable improvements in their condition. For instance, one user noted significant progress in their diabetic cat's hind limb neuropathy after using methylcobalamin and methylfolate for about a month Read Review. This sentiment is echoed by another user who combined B12 with DHA-500 for enhanced memory and concentration, suggesting that the interaction between these supplements can bolster overall nerve health and cognitive function Read Review.
Moreover, some users reported using B12 in conjunction with other vitamin B group supplements, which they found beneficial for alleviating neuropathy symptoms Read Review. The consensus seems to indicate that a multi-supplement approach can maximize the benefits for those dealing with nerve-related issues. Additionally, one user remarked that their regimen of vitamin B12 and other vitamins was effective for various health concerns, including peripheral neuropathy and tinnitus Read Review. In conclusion, combining B12 with complementary supplements appears to be a favored strategy among users for managing neuropathy effectively.
Based on user reviews, there is a consensus that the right dosage of B12 for treating neuropathy varies, but many users report positive outcomes. For instance, one user highlights a beneficial experience taking two capsules daily, following their doctor's advice for managing foot neuropathy Read Review. Another review mentions a small 1500mcg pill of methylcobalamin that works effectively for neuropathy symptoms Read Review. It appears that users appreciate both the form of the supplement (with methylcobalamin being favored) and the dosage that leads to noticeable improvements in symptoms.
Additionally, several reviews praise regular use of B12, noting significant relief from peripheral neuropathy symptoms over time. For example, one user reported feeling a significant improvement within just ten days of using B12 alongside a lozenge Read Review. Overall, while specific dosing may vary per individual needs, many users indicate that consistent intake of B12 plays a crucial role in alleviating neuropathy pain and enhancing overall nerve health.
7.5
Fingertip numbness regained
1 people found this helpful
Used in conjunction with a lozenge for peripheral neuropathy, I had numbness in my fingertips but noticed significant improvement within ten days. It no longer bothers me.
9
Cat's mobility improved
3 people found this helpful
I bought methylcobalamin for my diabetic cat suffering from hind limb neuropathy. He had a wobbly gait and struggled to walk normally. After four months on B12 and methylfolate, I noticed significant improvement after about a month, and his condition continues to get better. I will keep purchasing this supplement.
9
Pain relief effective
1 people found this helpful
I take B12 for peripheral neuropathy and find Doctor's Best the most reliable brand. This supplement reduces neuropathy-related pain and 'electric shock' sensations effectively. The quality of their products is consistently high, and I appreciate the convenient flip lid on their containers.
9
Foot neuropathy support
I use this for neuropathy in my feet, and it indeed helps. I take two capsules daily under my doctor's advice.
7.5
Preventive Measure
A great product and very effective. I give it to my diabetic cat to prevent neuropathy, and I take it as well. The capsules are small and easily swallowed. Highly recommended!
7.5
Improved memory
5 people found this helpful
I wish you health! I regularly order quality chelated vitamin B12, which is efficiently absorbed. It boosts my energy levels and improves my nervous system while reducing diabetic polyneuropathy symptoms. Combined with DHA-500, it enhances memory and concentration. I recommend this quality B12.
7.5
Ears and stress relief
2 people found this helpful
B12 aids the ears and peripheral nervous system issues. I've been taking it with a B group supplement after learning its benefits for neuropathy. The small, pink tablets are easy to take, and I have one in the morning and one at night. If you're stressed and have neuralgia, I recommend trying B12.
7.5
Improved tinnitus
6 people found this helpful
For improving blood flow and chronic illness, I began taking vitamin B12 regularly from iHerb for neuropathy and circulation issues. While I also purchase Solger's Vitamin B12 occasionally due to its better ingredient profile and affordability, I feel B12 is effective for my tinnitus and hearing difficulties. My eye condition has not deteriorated either. In addition, I take lutein, astaxanthin, vitamin E, and other supplements daily, which I plan to continue.
7.5
Works Well
Using this for neuropathy, it's a very small pill containing 1500mcg of methylcobalamin. It works well.
8
Pernicious anemia and B12 treatment
A long-standing undiagnosed case of vitamin B12 deficiency: a case report.
We examined the case of a 40-year-old woman suffering from a decade of vague symptoms, including pain and cognitive issues, before being diagnosed with vitamin B12 deficiency due to pernicious anemia.
Despite low B12 levels showing no typical signs of anemia, the use of parenteral B12 treatment led to her neurological improvement. This case reinforces how vital it is to recognize B12 deficiency even when classic symptoms aren't present, ensuring timely treatment to avoid serious complications.
8
B12 contributes to neuropathy improvement
Efficacy and Safety of the Combination of Palmitoylethanolamide, Superoxide Dismutase, Alpha Lipoic Acid, Vitamins B12, B1, B6, E, Mg, Zn and Nicotinamide for 6 Months in People with Diabetic Neuropathy.
We investigated how a combination of vitamins, minerals, and other compounds influences symptoms of diabetic neuropathy. For six months, 73 participants were evenly split between a treatment or placebo group.
The results highlighted those on the active treatment saw significant improvements in pain and vibration perception, along with increased vitamin B12 levels. This suggests that B12, while part of a broader treatment plan, may play a beneficial role in managing neuropathy. However, the study primarily focuses on the overall combination, with B12 contributing to positive outcomes.
4
Vitamin B12's limited neuropathy effects
Association of co-existing vitamin B6 and B12 deficiency with polyneuropathy, organomegaly, endocrinopathy, M protein, and skin changes (POEMS) syndrome: a case report.
We explored the impact of vitamin B12 on neuropathy in the context of a unique case presenting with symptoms resembling POEMS syndrome. The patient, a man in his 40s, initially showed signs such as fatigue, imbalance, and painful numbness, which led to a diagnosis focused on vitamin B12 deficiency after initial evaluations.
After a month of treatment, his vitamin B12 levels improved, but unfortunately, there wasn't any significant relief in his neuropathic symptoms. Further investigation revealed he also had a deficiency in vitamin B6, as well as an IgA lambda monoclonal spike, which ultimately contributed to a diagnosis of POEMS syndrome.
This case highlights a vital consideration: while vitamin B12 treatment is essential, it may not always lead to expected improvements in neuropathy symptoms, especially in complex cases involving multiple deficiencies or syndromes like POEMS. Our findings emphasize the importance of a thorough evaluation and management for symptoms that mimic neuropathy, indicating that simply supplementing B12 might not suffice alone.
References
Mesgarankarimi A, Rezapour M, Tabrizi N. A long-standing undiagnosed case of vitamin B12 deficiency: a case report. J Med Case Rep. 2025;19:151. doi:10.1186/s13256-025-05149-7
El-Najjar SE, Naser IA, Al-Wahidi KM. Is Functional Vitamin B12 Deficiency a Risk Factor for the Development of Chemotherapy-Induced Peripheral Neuropathy in Cancer Patients?. Asian Pac J Cancer Prev. 2025;26:375. doi:10.31557/APJCP.2025.26.2.375
N I, Shyam Kumar S. The Effectiveness of Steroid Versus Vitamin Therapy in the Improvement of Extraocular Movements in Patients With Diabetic Cranial Nerve Palsy: A Comparative Study. Cureus. 2024;16:e75656. doi:10.7759/cureus.75656
Kyaw KY, Lwin MT, Lwin ZT. Correlation Between Nitrous Oxide and Functional Vitamin B12 Deficiency Resulting in Subacute Combined Degeneration of the Spinal Cord: A Case Report. Cureus. 2024;16:e74383. doi:10.7759/cureus.74383
Bandara P, Wijenayake W, Fernando S, Padeniya P, Mettananda S. Vitamin B12 responsive developmental and epileptic encephalopathy due to a novel mutation in the FUT2 gene: a case report. BMC Pediatr. 2024;24:622. doi:10.1186/s12887-024-05106-1
Didangelos T, Karlafti E, Kotzakioulafi E, Giannoulaki P, Kontoninas Z, et al. Efficacy and Safety of the Combination of Palmitoylethanolamide, Superoxide Dismutase, Alpha Lipoic Acid, Vitamins B12, B1, B6, E, Mg, Zn and Nicotinamide for 6 Months in People with Diabetic Neuropathy. Nutrients. 2024;16. doi:10.3390/nu16183045
Lubega G, Lutaakome J, Kibirige M, Opoka D, Atukunda I, et al. Vitamin B12 deficiency presenting as progressive blindness in a 33-year-old HIV-positive female patient on Efavirenz-based regimen: case report. Pan Afr Med J. 2024;47:164. doi:10.11604/pamj.2024.47.164.43048
Dekker MJHJ, Heerdink GC, Plattel CHM. Vitamin B12 Deficiency-Induced Neuropathy and Cognitive and Motor Impairment in the Elderly: A Case Study. Food Nutr Bull. 2024;45:S53. doi:10.1177/03795721241226886
Pino S, Vega E, Fragoso M, Salazar G. Nitrous Oxide as an Emerging Cause of Subacute Combined Degeneration and Polyneuropathy: A Two-Case Report. Cureus. 2024;16:e63003. doi:10.7759/cureus.63003
Gautam S, Mittal C, Ranjan A, Singh G. Association of Diabetic Peripheral Neuropathy with Micronutrients. J Assoc Physicians India. 2024;72:65. doi:10.59556/japi.72.0493
Zhu M, Yu C, Xu Z, Zhang H, Huang H. Subacute combined degeneration of the spinal cord with cerebellar lesions: A case report. Medicine (Baltimore). 2024;103:e37605. doi:10.1097/MD.0000000000037605
Hu S, Brown-Kunin S, Martin P, Wang Y. Association of co-existing vitamin B6 and B12 deficiency with polyneuropathy, organomegaly, endocrinopathy, M protein, and skin changes (POEMS) syndrome: a case report. BMC Neurol. 2025;25:54. doi:10.1186/s12883-025-04069-9
Zhao X, An X, Cui Y, Dong L, Fang Z, et al. TangBi Formula for Painful Diabetic Distal Symmetric Polyneuropathy: A Multicenter, Randomized, Double-Blind, Placebo-Controlled and Parallel-Group Trial. J Diabetes. 2025;17:e70045. doi:10.1111/1753-0407.70045
Kulkantrakorn K, Chunhachatrachai P, Kulkantrakorn W. Nitrous oxide abuse and associated neurological diseases. BMC Neurol. 2024;24:461. doi:10.1186/s12883-024-03966-9
Hotta K, Mano Y. Pharmacokinetic profiles of methylcobalamin in rats after multiple administration routes by a simple LC-MS/MS assay with a small volume of plasma. J Pharmacol Toxicol Methods. 2024;129:107552. doi:10.1016/j.vascn.2024.107552