We explored the case of a 23-month-old boy suffering from severe pancytopenia linked to Imerslund-Gräsbeck syndrome, a rare condition caused by an inability to absorb vitamin B12. Upon diagnosis, the boy received vitamin B12 replacement therapy, which effectively addressed his symptoms and improved his health.
This case highlights the significance of early detection and treatment of IGS to avoid potential neurological damage. It's crucial to recognize this condition, even when neurological symptoms are absent, to provide timely care.
Read More
9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
Read More
9
B12 treatment improves anemia outcomes
Transcobalamin deficiency - a rare genetic defect in transportation of cobalamin; case report.
We explored a rare condition called Transcobalamin deficiency, which hinders vitamin B12 transport in the body. This case involved a 2-year-old boy suffering from severe anemia and frequent infections.
After genetic tests revealed a specific mutation, we administered high doses of methylcobalamin. Remarkably, the child's health significantly improved, highlighting the importance of diagnosing and treating this deficiency early to avoid serious complications.
Read More
Most Useful Reviews
9
Improved haemoglobin
5 people found this helpful
The composition is good, and the product is very beneficial. The doctor prescribed this drug for my B-12 deficiency anaemia, which caused broken nails, dizziness, and shortness of breath. After a three-month course, I experienced a significant improvement; my haemoglobin levels normalised, and I no longer have shortness of breath. I highly recommend this! ❤️
Read More
9
Decreased nervousness
4 people found this helpful
Scientific sources indicate that Vitamin B12 is essential for brain function, the nervous system, and preventing various types of anaemia. Since it’s not synthesised in the body and absorption decreases with age, I take this vitamin. Since I started, I've become less anxious and my sleep has improved. I recommend it.
Read More
7.5
Raised B12 levels
4 people found this helpful
I take this according to my doctor's advice based on my test results. My levels improved from the lowest borderline to normal within a month. I previously had a history of anaemia, numbness, and insomnia, but now I feel much better! This particular drug is great as it contains nutrients from 23 whole fruits and vegetables, with no synthetic ingredients. The only downside is that there are not enough capsules per jar.
We explored the case of a 23-month-old boy suffering from severe pancytopenia linked to Imerslund-Gräsbeck syndrome, a rare condition caused by an inability to absorb vitamin B12. Upon diagnosis, the boy received vitamin B12 replacement therapy, which effectively addressed his symptoms and improved his health.
This case highlights the significance of early detection and treatment of IGS to avoid potential neurological damage. It's crucial to recognize this condition, even when neurological symptoms are absent, to provide timely care.
Read More
9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
Read More
9.5
Vitamin B12 aids anemia recovery
Co-existence of autoimmune polyglandular syndrome type 3b and undifferentiated connective tissue disease with subacute combined degeneration of spinal cord in children: a case report and literature review.
We investigated how vitamin B12 treatment plays a role in addressing anemia in a young adolescent with complex health issues, including severe anemia, joint problems, and neurological symptoms. This individual presented with a deficiency in vitamin B12, alongside other autoimmune conditions, leading to a diagnosis of subacute combined degeneration of the spinal cord.
The patient's treatment regimen included high-dose intravenous methylprednisolone, immunoglobulin therapy, oral naproxen, and vitamin B12 supplementation, among others. We observed that the introduction of vitamin B12 into her treatment plan contributed to combating her anemia effectively. The combination of therapies, especially with vitamin B12, significantly improved her overall health and restored her quality of life.
Our findings highlight the importance of early diagnosis and prompt treatment in patients with complex autoimmune issues. Specifically, vitamin B12 emerges as a critical component in managing anemia related to such conditions. While the study is anecdotal, it reinforces the idea that vitamin B12 can be beneficial in improving anemia outcomes in similarly affected patients.
Read More
9
Oral B12 therapy effective in anemia
Imerslund-Gräsbeck syndrome in a child with a novel compound heterozygous mutations in the AMN gene: a case report.
We explored a case of a 3-year-old girl diagnosed with Imerslund-Gräsbeck syndrome, a condition that causes vitamin B12 malabsorption and leads to anemia. After identifying novel mutations in the AMN gene, we initiated long-term oral vitamin B12 therapy.
Following treatment, her blood tests showed consistent improvement, indicating that oral B12 replacement can be an effective management strategy, especially for patients who can’t tolerate injections. This case underscores the importance of genetic testing for accurate diagnoses.
Read More
9
B12 treatment improves anemia outcomes
Transcobalamin deficiency - a rare genetic defect in transportation of cobalamin; case report.
We explored a rare condition called Transcobalamin deficiency, which hinders vitamin B12 transport in the body. This case involved a 2-year-old boy suffering from severe anemia and frequent infections.
After genetic tests revealed a specific mutation, we administered high doses of methylcobalamin. Remarkably, the child's health significantly improved, highlighting the importance of diagnosing and treating this deficiency early to avoid serious complications.
The composition is good, and the product is very beneficial. The doctor prescribed this drug for my B-12 deficiency anaemia, which caused broken nails, dizziness, and shortness of breath. After a three-month course, I experienced a significant improvement; my haemoglobin levels normalised, and I no longer have shortness of breath. I highly recommend this! ❤️
Read More
9
Decreased nervousness
4 people found this helpful
Scientific sources indicate that Vitamin B12 is essential for brain function, the nervous system, and preventing various types of anaemia. Since it’s not synthesised in the body and absorption decreases with age, I take this vitamin. Since I started, I've become less anxious and my sleep has improved. I recommend it.
Read More
7.5
Raised B12 levels
4 people found this helpful
I take this according to my doctor's advice based on my test results. My levels improved from the lowest borderline to normal within a month. I previously had a history of anaemia, numbness, and insomnia, but now I feel much better! This particular drug is great as it contains nutrients from 23 whole fruits and vegetables, with no synthetic ingredients. The only downside is that there are not enough capsules per jar.
Read More
9
Maintained health
2 people found this helpful
I’m a vegan and take this daily. My blood tests confirm I’m healthy and free of anaemia. You will feel the benefits!
Read More
7.5
Resolved anaemia
2 people found this helpful
I bought this vitamin B12 to resolve an anaemia issue, and it has definitely helped!
Anemia is a medical condition characterized by a deficiency of red blood cells or hemoglobin in the blood, which can result in reduced oxygen flow to the body's organs. The most common type of anemia is iron-deficiency anemia, which occurs when the body does not have enough iron to produce adequate hemoglobin. Other types can arise from chronic diseases, genetic conditions, or a lack of certain vitamins such as B12 or folate. Symptoms often include fatigue, weakness, pale skin, and shortness of breath, particularly during physical activity.
Diagnosing anemia typically involves blood tests to measure levels of red blood cells, hemoglobin concentration, and other related factors. Treatment varies depending on the underlying cause but may include dietary changes, supplements, or medications. In some cases, more serious interventions may be necessary, such as blood transfusions or treatments for associated conditions. If you suspect you have anemia, it's essential to consult a healthcare professional for appropriate evaluation and management.
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.
B12 plays a crucial role in the formation of red blood cells, and a deficiency can lead to a specific type of anemia called pernicious anemia. In this condition, the body lacks sufficient vitamin B12, which is essential for producing healthy red blood cells, resulting in a decreased ability to transport oxygen throughout the body. Symptoms of this type of anemia can include fatigue, weakness, and even neurological issues if left untreated.
Supplementing with B12 can alleviate these symptoms and correct the deficiency, making it an effective part of the treatment plan for those diagnosed with pernicious anemia. However, it's essential to consult with a healthcare professional before starting supplementation, as the specific needs can vary significantly between individuals. They may recommend dietary adjustments or injections depending on the severity of the deficiency and the underlying causes. In sum, while B12 can certainly help with certain types of anemia, addressing the root cause with professional guidance is key for effective treatment.
Based on user reviews, the timeframe for experiencing results from B12 supplements for anemia can vary significantly. Some users report noticeable improvements in as little as one month. For instance, one reviewer mentioned their levels improved from borderline to normal within this timeframe after taking the supplement as per their doctor's advice Read Review. Another user shared that their B12 levels rose dramatically within just one month, indicating the supplement's efficacy Read Review.
However, other users emphasized a longer duration, noting significant benefits after a three-month course Read Review. This suggests that while individuals may experience improvements at different rates, a consistent intake over several weeks to months appears essential for optimal results. It's worth mentioning that maintaining proper nutrition alongside supplementation is also vital for addressing anemia effectively Read Review. Overall, your experience may vary based on your specific condition and nutritional needs.
The evidence strongly supports the role of vitamin B12 supplements in managing certain types of anemia, particularly pernicious anemia, which is caused by a deficiency in this vital nutrient. Research indicates that vitamin B12 therapy can lead to significant improvements in symptoms and blood counts for those diagnosed with pernicious anemia. For example, a case study of a patient with macrosytotic anemia and low cobalamin levels showed marked recovery with parenteral B12 administration, emphasizing the importance of recognizing vitamin B12 deficiency as a cause of anemia even in the absence of classic symptoms [1]. Furthermore, patients in another analysis reported sustained increases in B12 levels after receiving oral supplementation, highlighting the effectiveness of both oral and parenteral forms of vitamin B12 in treating anemia [10].
Moreover, a well-conducted study demonstrated that nearly 88.5% of participants diagnosed with vitamin B12 deficiency no longer showed signs of deficiency after supplementation, reflecting the nutrient's critical role in hemoglobin regulation [10]. Overall, the data suggests that appropriate vitamin B12 supplementation is not only effective in treating anemia but is essential for the overall health of those with deficiencies. As the research base expands, individuals experiencing anemia should consider consulting healthcare providers regarding B12 supplementation as a viable management option.
Users have reported a variety of significant improvements in symptoms related to B12 deficiency anemia after taking this supplement, with notable anecdotal experiences shared in their reviews. One user mentioned a transformation in their condition over a three-month period, stating that their hemoglobin levels normalized and they no longer experienced shortness of breath, which had previously affected their daily life Read Review. Another reviewer experienced a dramatic increase in their B12 levels from 340 to 1020 within just a month, noting substantial relief from symptoms like insomnia and numbness Read Review.
In addition to physical improvements, users also reported benefits related to mental health. One reviewer, after using the supplement, noted decreased anxiety and improved sleep quality. Others mentioned clearer thinking and better focus, with one user remarking that B12 enhances memory and attention Read ReviewRead Review. While these experiences are encouraging, it's important to keep in mind that individual results can vary significantly based on a range of factors, including diet, lifestyle, and personal health conditions.
Users report positive experiences when combining this B12 supplement with other vitamins for managing anemia. For example, one review mentioned that the supplement works effectively alongside B6 and vitamin C to combat anemia Read Review. Another user noted that the inclusion of folic acid along with B12 contributes to maintaining healthy metabolism and is essential for addressing anemia symptoms Read Review. These reviews suggest that pairing B12 with other essential vitamins can enhance the overall effectiveness in managing anemia.
Additionally, a reviewer emphasized the importance of maintaining proper nutrition alongside supplementation, indicating that a multi-faceted approach is beneficial for improved results Read Review. Several individuals highlighted that integrating this supplement into their daily regimen, especially for those following a vegan diet, led to better health outcomes and confirmed their blood tests showed no signs of anemia Read Review. Overall, users seem to advocate for a combination of vitamins in addressing anemia effectively.
The optimal dose for vitamin B12 in treating anemia generally falls within the range of 1000 µg per day, particularly for conditions like pernicious anemia where absorption may be impaired. Research indicates that high doses, such as 1000 µg of oral cyanocobalamin, can lead to significant improvements in vitamin B12 levels and blood markers, with studies showing that a majority of participants no longer exhibited deficiency after just one month of treatment [10]. For patients with severe deficiencies, higher dosages up to 200 µg per day can effectively address anemia symptoms, sometimes even necessitating parenteral forms of vitamin B12 for rapid improvement [14].
Moreover, ongoing vitamin B12 supplementation is crucial for preventing relapses in individuals diagnosed with pernicious anemia [7]. The effectiveness of treatment is maximized when healthcare providers take an individualized approach, assessing patient needs and potential absorption issues. In summary, while higher doses can be beneficial, it is essential to work with a healthcare professional to determine the right strategy for vitamin B12 administration, especially in the context of specific conditions like pernicious anemia where timely intervention is crucial to avoid complications.
7.5
Raised B12 levels
4 people found this helpful
I take this according to my doctor's advice based on my test results. My levels improved from the lowest borderline to normal within a month. I previously had a history of anaemia, numbness, and insomnia, but now I feel much better! This particular drug is great as it contains nutrients from 23 whole fruits and vegetables, with no synthetic ingredients. The only downside is that there are not enough capsules per jar.
9
Significant progress
1 people found this helpful
This product is ideal for those with B12-deficiency anaemia. One jar raised my levels from 340 to 1020 in just a month. The dosage may increase, but it's crucial to maintain proper nutrition alongside taking vitamins.
9
Improved haemoglobin
5 people found this helpful
The composition is good, and the product is very beneficial. The doctor prescribed this drug for my B-12 deficiency anaemia, which caused broken nails, dizziness, and shortness of breath. After a three-month course, I experienced a significant improvement; my haemoglobin levels normalised, and I no longer have shortness of breath. I highly recommend this! ❤️
9
Decreased nervousness
4 people found this helpful
Scientific sources indicate that Vitamin B12 is essential for brain function, the nervous system, and preventing various types of anaemia. Since it’s not synthesised in the body and absorption decreases with age, I take this vitamin. Since I started, I've become less anxious and my sleep has improved. I recommend it.
7.5
Improves forgetfulness
B12 enhances my memory and attention, as well as aiding in the treatment of anemia.
7.5
Aiding anaemia
This natural B12, along with B6 and vitamin C, effectively combats anaemia.
9
Supports healthy metabolism
This product helps with my anemia, maintains a healthy metabolism, and provides essential vitamin B12. It also supports my nervous system. The taste is pleasant, and the packaging is beautiful. Overall, it’s highly effective and of excellent quality, especially with folic acid included.
9
Maintained health
2 people found this helpful
I’m a vegan and take this daily. My blood tests confirm I’m healthy and free of anaemia. You will feel the benefits!
8
Pernicious anemia linked to B12
A long-standing undiagnosed case of vitamin B12 deficiency: a case report.
This case explores the journey of a 40-year-old woman who suffered from various nonspecific symptoms, mistakenly attributed to other health issues, for ten years. Her vitamin B12 levels were critically low, ultimately diagnosed as pernicious anemia.
After starting parenteral B12 treatment, we observed significant neurological improvements, underscoring how vital it is to recognize vitamin B12 deficiency as a potential cause of anemia, even when classic symptoms aren't present. This case reminds us to maintain a broad perspective for accurate diagnosis.
9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
9
Vitamin B12's role in anemia
A Framework to Guide Defining an Upper Threshold of Crystalline Vitamin B12 in Foods and Food Supplements.
We explored how vitamin B12 affects anemia, specifically through its role in correcting deficiencies. The research analyzes oral B12 intake and its absorption, particularly in individuals showing signs of deficiency.
There’s a clear relationship between the amount of B12 consumed and the body’s response. Supplements offering up to 20 µg of B12 daily are deemed safe and unlikely to trigger side effects.
For those severely affected, higher dosages—like 50 µg—may help stabilize abnormal markers in the blood, while foods designed for medical purposes can contain up to 150 µg.
However, anything beyond 200 µg per day should be treated as a drug, as it can effectively address anemia and related symptoms. Importantly, for individuals diagnosed with deficiency, proper medical treatment remains essential, leaning towards higher doses of B12.
8
Pernicious anemia widely prevalent in China
Pernicious anemia is a common cause of cobalamin deficiency-caused megaloblastic anemia in Hainan, China.
We investigated the prevalence of pernicious anemia (PA) as a cause of cobalamin (vitamin B12) deficiency in patients with megaloblastic anemia in Hainan, China. By testing 90 patients, we found that over 80% were diagnosed with PA.
During the follow-up period, those receiving consistent B12 therapy showed no relapse, while interruptions led to a significant relapse rate. Our findings suggest that screening for PA is crucial and highlight the importance of ongoing B12 supplementation for affected patients.
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
Upadhyay RP, Chowdhury R, Mundra S, Taneja S, Jacob M, et al. Comparative effectiveness of daily therapeutic supplementation with multiple micronutrients and iron-folic acid versus iron-folic acid alone in children with mild-to-moderate anaemia in rural India: an open-label, randomised controlled trial. Lancet Glob Health. 2025;13:e497. doi:10.1016/S2214-109X(24)00559-X
Mswelo VE, David MM, Banturaki A, Munyambalu DK, Hassan HA, et al. Rural health challenges in Western Uganda: pernicious anemia masquerading as recurrent lower limb weakness-a case report. J Med Case Rep. 2025;19:60. doi:10.1186/s13256-025-05095-4
Hirakata K, Ishii Y, Yoshida T, Tanaka F, Nakae Y. [A case of diagnosed pernicious anemia and subacute combined degeneration of the spinal cord with abnormally elevated serum vitamin B12]. Rinsho Shinkeigaku. 2025;65:120. doi:10.5692/clinicalneurol.cn-002023
Zhang D, Liu S, Xi B, Zhu Y, Chen Y, et al. Imerslund-Gräsbeck syndrome in a child with a novel compound heterozygous mutations in the AMN gene: a case report. Ital J Pediatr. 2024;50:191. doi:10.1186/s13052-024-01757-z
Di Sario F, Piloni F, Gasparini F, Serpetti E, Bruschi B, et al. Severe pancytopenia at the presentation of Imerslund-Gräsbeck syndrome in a 23-month-old Italian boy. Ital J Pediatr. 2024;50:186. doi:10.1186/s13052-024-01759-x
Shen M, Luo X, Wu C, Wang J, Wang Z, et al. Pernicious anemia is a common cause of cobalamin deficiency-caused megaloblastic anemia in Hainan, China. Hematology. 2024;29:2399375. doi:10.1080/16078454.2024.2399375
Iqbal N, Meghani MA, Khalid W, Ansari AH, Ansari MUH, et al. Transcobalamin deficiency - a rare genetic defect in transportation of cobalamin; case report. Ann Hematol. 2024;103:3243. doi:10.1007/s00277-024-05878-7
Song JH, Park SH, Cho M, Kim YM, Hyung WJ, et al. Proximal Gastrectomy Is Associated with Lower Incidence of Anemia and Vitamin B12 Deficiency Compared to Total Gastrectomy in Patients with Upper Gastric Cancer. Cancer Res Treat. 2025;57:174. doi:10.4143/crt.2024.319
Lacombe V, Vinatier E, Roquin G, Copin MC, Delattre E, et al. Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study. Am J Clin Nutr. 2024;120:217. doi:10.1016/j.ajcnut.2024.05.019
Chakrabarti S, Ajjampur SSR, Waddington HS, Kishore A, Nguyen PH, et al. Deworming and micronutrient status by community open defecation prevalence: An observational study using nationally representative data from India, 2016-2018. PLoS Med. 2024;21:e1004402. doi:10.1371/journal.pmed.1004402
Sawada Y, Sakamoto K, Tsukamura A, Sawai C. Vitamin B12 deficiency-induced megaloblastic anemia in a pediatric patient with autism spectrum disorder with a chronically unbalanced diet. Int J Hematol. 2024;119:613. doi:10.1007/s12185-024-03759-3
Sachdeva M, Purohit A, Malik M, Jain L, Pradhan P, et al. Comparison of Efficacy and Safety of Parenteral vs Oral Route of Vitamin B12 Supplementation for the Treatment of Vitamin B12 Deficiency Anemia in Children: A Systematic Review. Nutr Rev. 2025. doi:10.1093/nutrit/nuae227
Obeid R, Geisel J, Pietrzik K, Andres E. A Framework to Guide Defining an Upper Threshold of Crystalline Vitamin B12 in Foods and Food Supplements. Curr Nutr Rep. 2025;14:32. doi:10.1007/s13668-025-00622-7
Belhaj R, Maaloul I, Kolsi R, Rekik T, Chabchoub I, et al. Study of clinical manifestations and etiologies of megaloblastic anemia in children. Transfus Clin Biol. 2025. doi:10.1016/j.tracli.2025.01.006
Goncalves H, De Oliveira Simões F, Sá R, Fraga Campos B, Domingues RM, et al. Severe Symptomatic Anemia as a Rare Initial Manifestation of Type 3 Polyglandular Autoimmune Syndrome: A Case Report. Cureus. 2024;16:e75800. doi:10.7759/cureus.75800
Moreira AP, Vasconcelos M, Costa E Silva T, Relvas C, Espírito Santo J. An Unusual Case of Hemolytic Anemia: A Case Report. Cureus. 2024;16:e75676. doi:10.7759/cureus.75676
Lang C, Huang P, Gao J, Chen Y, He Z. Co-existence of autoimmune polyglandular syndrome type 3b and undifferentiated connective tissue disease with subacute combined degeneration of spinal cord in children: a case report and literature review. BMC Pediatr. 2024;24:817. doi:10.1186/s12887-024-05262-4
Tavares Pereira J, Barbosa Barroso J, Azevedo A, Ribeiro A, Tonel C. Pseudo-Thrombotic Microangiopathy Secondary to Vitamin B12 Deficiency. Cureus. 2024;16:e73620. doi:10.7759/cureus.73620
Jamil M, Nasser Z, Jamil D, Sheqwara JZ. Unmasking Vitamin B12 Deficiency Misdiagnosed as Myelodysplastic Syndrome. Case Rep Hematol. 2024;2024:3258227. doi:10.1155/2024/3258227
Memon NM, Conti G, Brilli E, Tarantino G, Chaudhry MNA, et al. Comparative bioavailability study of supplemental oral Sucrosomial vs. oral conventional vitamin B12 in enhancing circulatory B12 levels in healthy deficient adults: a multicentre, double-blind randomized clinical trial. Front Nutr. 2024;11:1493593. doi:10.3389/fnut.2024.1493593