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.
Read More
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
9
Effective neuropathy relief
4 people found this helpful
I purchased this as a countermeasure for my peripheral neuropathy, which makes my fingertips feel peculiar. It's been about 10 days since I started taking it, and it has worked so well that I've forgotten the discomfort in my fingertips.
Read More
9
High-quality ingredients
Excellent! Really amazing quality with natural ingredients, small packaging, and a pleasant smell. It uses methylcobalamin, which is crucial for the development of myelin that protects nerve fibres. This activated form of vitamin B12 is essential for treating peripheral neuropathy, diabetic neuropathy, and amyotrophic lateral sclerosis. I highly recommend it to everyone.
Read More
9
Tremendous help
This product has been tremendously helpful. I would recommend Methyl B12 as it aids my neuropathy.
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.
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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.
I purchased this as a countermeasure for my peripheral neuropathy, which makes my fingertips feel peculiar. It's been about 10 days since I started taking it, and it has worked so well that I've forgotten the discomfort in my fingertips.
Read More
9
High-quality ingredients
Excellent! Really amazing quality with natural ingredients, small packaging, and a pleasant smell. It uses methylcobalamin, which is crucial for the development of myelin that protects nerve fibres. This activated form of vitamin B12 is essential for treating peripheral neuropathy, diabetic neuropathy, and amyotrophic lateral sclerosis. I highly recommend it to everyone.
Read More
9
Tremendous help
This product has been tremendously helpful. I would recommend Methyl B12 as it aids my neuropathy.
Read More
9
Very useful
I find the B12 Methylcobalamin formula very beneficial for the nervous systems of diabetic patients, especially for those suffering from neuropathy. As a diabetic, I regularly take it.
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9
Peripheral neuropathy
This product has significantly helped in the treatment of peripheral neuropathy!
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 timeframe for seeing results from this supplement can vary significantly. Some users report experiencing noticeable improvements in their neuropathy symptoms within as little as 10 days of starting the regimen. For instance, one user mentions forgetting the discomfort in their fingertips after only 10 days of use Read Review. Others have indicated that they began to feel a "very good improvement" shortly after beginning their treatment Read Review.
However, not everyone experiences immediate effects, with one user indicating that they were unsure if the supplement was working, stating they would wait to see results after using one bottle Read Review. It's also worth noting that individual responses may vary. Some users have combined the supplement with other treatments or lifestyle changes, which makes it challenging to attribute specific results solely to the supplement. Overall, while some see improvement quickly, others may need a longer period to evaluate its effectiveness fully.
Scientific research supports the role of vitamin B12 supplementation in managing neuropathy, particularly in specific contexts such as diabetic neuropathy, chemotherapy-induced peripheral neuropathy, and deficiency-related neuropathies. Multiple studies have shown that vitamin B12 can lead to significant neurological improvements. For instance, a case involving a 41-year-old woman demonstrated marked recovery in symptoms of neuropathy after vitamin B12 treatment, underscoring the importance of early diagnosis and intervention for deficiencies (see [11]). Moreover, another study indicated a strong correlation between low vitamin B12 levels and diabetic peripheral neuropathy, suggesting that supplementation could be beneficial for patients struggling with this condition ([10]).
However, it's important to note that while vitamin B12 appears promising, many studies involved it as part of a broader treatment plan, making it challenging to isolate its specific effects on neuropathy alone. For instance, one study on a combination of vitamins and minerals showed improvements in diabetic neuropathy symptoms, indicating B12's potential role as part of a multifaceted approach ([6]). Overall, while vitamin B12 supplementation is supported by scientific evidence for certain neuropathic conditions, it should be considered in conjunction with comprehensive treatment strategies for optimal results.
Many users have reported significant improvements in their neuropathy symptoms after using methylcobalamin supplements. For instance, one user experienced such relief from their fingertip discomfort within just 10 days that they forgot about it altogether Read Review. Others echoed similar sentiments, describing the product as "tremendously helpful" and noting an overall decrease in their peripheral neuropathy symptoms Read Review. Furthermore, users have commented on the effectiveness of the supplement for treating diabetic neuropathy, with one reviewer specifically stating that it has significantly helped in their treatment Read Review.
However, it is important to highlight that individual results may vary, and not all users experienced immediate effects. One user mentioned being unsure if the supplement was effective, noting they would wait to judge after finishing one bottle Read Review. Some have also combined the supplement with other vitamins and treatments, which can make it challenging to pinpoint exactly which elements are responsible for the improvement Read Review. Overall, while many found methylcobalamin beneficial for alleviating neuropathy symptoms, others may need to allow for more time to determine its full effect.
Users have shared varied experiences regarding the combination of this methylcobalamin supplement with other treatments for neuropathy. Some users, like the one noting a comprehensive regimen, reported reductions in mild peripheral neuropathy symptoms after taking methylcobalamin alongside other supplements such as ALA, Acetyl-L-Carnitine, and Benfotiamine. However, they expressed the difficulty in attributing improvements to any specific supplement given the multiple elements involved in their treatment plan Read Review. Another user echoed the positive effects of combining methylcobalamin with other group B vitamins, finding that it alleviated the manifestations of polyneuropathy Read Review.
Additionally, there are users who mentioned using methylcobalamin as a vital component in their treatments for diabetic neuropathy, suggesting it may enhance the efficacy when combined with a comprehensive approach that includes other supportive therapies Read Review. While some have noted significant benefits, individual responses can differ greatly, suggesting that careful consideration of all components in one's supplement regimen is essential for achieving optimal results.
Users report positive outcomes when using B12, particularly in its methylcobalamin form, for treating neuropathy, with many noting significant relief from symptoms. For instance, one user shared that after just 10 days of taking the supplement, they noticed a remarkable improvement in their peripheral neuropathy symptoms, claiming they had forgotten the discomfort in their fingertips Read Review. Another user emphasized the importance of methylcobalamin for protecting nerve fibers and recommended it for conditions like diabetic neuropathy Read Review.
While the exact dosage was not explicitly detailed in the reviews, many users highlighted the supplement's effectiveness, indicating that appropriate amounts of methyl B12 can greatly aid nerve health and reduce pain Read Review. Some users also took B12 as part of a broader regimen, combining it with other vitamins, which they found beneficial in managing neuropathy symptoms Read Review. Overall, feedback suggests that while individual experiences vary, many found confidence in the use of B12 for alleviating neuropathic pain.
9
Effective neuropathy relief
4 people found this helpful
I purchased this as a countermeasure for my peripheral neuropathy, which makes my fingertips feel peculiar. It's been about 10 days since I started taking it, and it has worked so well that I've forgotten the discomfort in my fingertips.
7.5
Feeling significant improvement
It works! I got this to assist with neuropathy and am feeling a very good improvement.
6
Uncertain effectiveness
I took it to alleviate the neuropathy of my diabetic foot, but I’m unsure if it’s working. For now, I’ll see what happens after using one bottle, so I can’t draw a conclusion yet. It’s a drop type applied under the tongue, but I haven’t noticed any immediate effects. The taste is pleasant, like a tablet confectionery, and there’s no particular issue so far. I might consider using it again later.
9
Tremendous help
This product has been tremendously helpful. I would recommend Methyl B12 as it aids my neuropathy.
9
Peripheral neuropathy
This product has significantly helped in the treatment of peripheral neuropathy!
7.5
Mixed results noted
I started taking B12, ALA, Acetyl-L-Carnitine, Benfotiamine, D3 & K2, CoQ10, and B6 six weeks ago and have found that the mild peripheral neuropathy in my toes has reduced. I combined this with nerve stretching and high-intensity training, making it difficult to pinpoint which part(s) of the regimen are effective. As always with vitamins, results may vary!
6
Reduced polyneuropathy symptoms
It helped, in combination with other group B vitamins, to lessen the manifestations of polyneuropathy.
9
High-quality ingredients
Excellent! Really amazing quality with natural ingredients, small packaging, and a pleasant smell. It uses methylcobalamin, which is crucial for the development of myelin that protects nerve fibres. This activated form of vitamin B12 is essential for treating peripheral neuropathy, diabetic neuropathy, and amyotrophic lateral sclerosis. I highly recommend it to everyone.
9
Reduces pain
This high-quality vitamin B is essential for nerve health, immunity, and joint function. The amount is appropriate for diabetics and reduces pain in the feet and hands caused by peripheral neuropathy with diabetes.
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.
7
Vitamin B12 linked to neuropathy
Association of Diabetic Peripheral Neuropathy with Micronutrients.
We conducted a cross-sectional study with 130 type-2 diabetic patients to explore the connection between diabetic peripheral neuropathy (DPN) and various micronutrients. Using a well-defined screening tool, we identified 28 patients with DPN.
Our results showed a significant association between DPN and both zinc and vitamin B12 levels. However, there was no significant correlation with copper or magnesium levels. This suggests that while zinc and vitamin B12 may play a role in neuropathy among diabetic patients, other micronutrients do not appear to have the same impact.
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.
References
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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