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
Boosts energy significantly
11 people found this helpful
Effective. I have a genetic form of anemia that leads to low red blood cell counts and adverse effects. B-12 is the recommended treatment. While some relatives receive monthly B-12 injections, I find that supplements work well for me. I’ve tried cyanocobalamin and methyl B-12, and discovered the latter to be more effective. I can feel a boost in energy and mental clarity shortly after taking it. I am likely more sensitive to B-12 than most. This brand suits me well.
Read More
9
Eliminates anemia
1 people found this helpful
Gorgeous! I adore this company’s B vitamins! My husband and I have issues with the folic cycle, so we regularly take this B-12 as per our tests! The dosage is good, and it has a pleasant taste! It works brilliantly and raises my vitamin B level – I consistently see this reflected in my tests! It helped me effectively cope with eliminating anemia in time.
Read More
10
Revitalised memory
This product has truly revitalised me! I'm now on another bottle, and there's no sign of the anemia anymore. Additionally, my memory has improved significantly.
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.
Effective. I have a genetic form of anemia that leads to low red blood cell counts and adverse effects. B-12 is the recommended treatment. While some relatives receive monthly B-12 injections, I find that supplements work well for me. I’ve tried cyanocobalamin and methyl B-12, and discovered the latter to be more effective. I can feel a boost in energy and mental clarity shortly after taking it. I am likely more sensitive to B-12 than most. This brand suits me well.
Read More
9
Eliminates anemia
1 people found this helpful
Gorgeous! I adore this company’s B vitamins! My husband and I have issues with the folic cycle, so we regularly take this B-12 as per our tests! The dosage is good, and it has a pleasant taste! It works brilliantly and raises my vitamin B level – I consistently see this reflected in my tests! It helped me effectively cope with eliminating anemia in time.
Read More
10
Revitalised memory
This product has truly revitalised me! I'm now on another bottle, and there's no sign of the anemia anymore. Additionally, my memory has improved significantly.
Read More
9
Helps neuropathy
Well tolerated, this is an excellent form of methylcobalamin. It effectively eliminated my anemia (B12 deficiency) and also helped with my neuropathy.
Read More
9
Tropical taste
Healthy and delicious! I use various brands, but I always prefer METHYLCOBALAMIN. There is nothing better for pernicious anemia. For those who enjoy tropical flavours, there's a delightful taste as well!
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, many individuals report seeing improvements in their anemia symptoms relatively quickly after starting the supplement. For instance, one user noted that after using the product, they experienced a complete revitalization and noticed no signs of anemia after finishing another bottle, indicating possible results within weeks Read Review. Another review specifically mentioned that the supplement effectively eliminated their anemia due to B12 deficiency Read Review.
Additionally, users have expressed that consistent use led to improvements in their overall well-being, with one stating that it significantly helped with dizziness caused by anemia Read Review. While results can vary, many users suggest that with consistent use, positive effects can typically be noticed within a few weeks, reinforcing the importance of regular intake for optimal benefits.
Vitamin B12 supplementation is strongly supported by scientific research for its role in addressing various forms of anemia, particularly pernicious anemia, which is caused by vitamin B12 deficiency. Several case studies emphasize the critical impact of appropriate vitamin B12 treatment on patient outcomes. For instance, one study highlighted the case of a 51-year-old man whose symptoms of weakness and macrocytic anemia were alleviated through parenteral methylcobalamin therapy, underscoring the importance of recognizing and treating vitamin B12 deficiency as a significant cause of anemia ([3]). Similarly, another study found that administering high doses of oral B12 resulted in notable recovery in children diagnosed with megaloblastic anemia due to vitamin B12 deficiency, indicating that timely intervention is critical ([7]).
Moreover, the efficacy of new formulations like Sucrosomial vitamin B12 has been demonstrated in clinical trials, showing better sensory increases in B12 levels compared to conventional supplements, thus offering an innovative alternative for individuals struggling with absorption issues ([21]). Overall, the literature supports the notion that maintaining adequate vitamin B12 levels is essential in preventing and treating different types of anemia, particularly in cases where deficiencies are suspected or diagnosed. As a pivotal nutrient in hematopoiesis, administering vitamin B12 can lead to significant clinical improvements in affected individuals.
Based on user reviews, many individuals report significant improvements in their symptoms related to anemia after taking B12 supplements. A user shared that they effectively coped with anemia due to their B12 deficiency and saw a remarkable rise in their vitamin B levels, consistently reflected in their tests Read Review. Another review indicated that after using the product, signs of anemia were completely eliminated, along with noticeable enhancements in memory Read Review.
Additionally, users have highlighted various positive effects such as alleviation of dizziness often associated with anemia, improved mood, and overall feelings of vitality and well-being Read Review. While individual results may vary, the consensus among users suggests that consistent use of these B12 supplements can lead to significant health benefits, especially for those managing deficiencies and related symptoms.
Users have reported positive experiences when combining this B12 supplement with other products for managing anemia. One user noted that they took the supplement alongside other medications to address their anemia, and they did not experience any negative side effects, highlighting the supplement's compatibility with other treatments Read Review. This sentiment is echoed by another customer who mentioned effectively eliminating their anemia while using B12 properly Read Review.
Additionally, consumers have emphasized the importance of this supplement for specific conditions like pernicious anemia, suggesting that it is highly beneficial when integrated into a broader supplementation or treatment plan Read Review. Overall, the feedback indicates that users feel confident in utilizing this B12 supplement alongside other therapies, leading to improved management of anemia symptoms.
When it comes to treating anemia related to vitamin B12 deficiency, the optimal dosing strategy can vary based on the individual's medical condition. For instance, several studies highlight that high doses can be particularly effective. Patients diagnosed with pernicious anemia often benefit from parenteral (injection) treatments, with dosages around 1,000 μg per month or more being reported as beneficial in restoring vitamin B12 levels and alleviating symptoms ([3]).
In cases of severe deficiency, such as those involving re-treating anemia after a relapse, some protocols suggest using up to 200 μg daily, which is generally viewed as a safe, high-dose intervention. The findings also indicate that higher doses (like 50 μg daily) may stabilize blood markers associated with vitamin deficiency effectively ([14]). Furthermore, for patients who can tolerate it, oral supplementation at doses of around 1,000 μg daily has shown promising results in maintaining adequate serum B12 levels ([10]). It is essential to consult with healthcare providers for personalized recommendations, considering factors like individual health status and the severity of the deficiency.
10
Revitalised memory
This product has truly revitalised me! I'm now on another bottle, and there's no sign of the anemia anymore. Additionally, my memory has improved significantly.
9
Helps neuropathy
Well tolerated, this is an excellent form of methylcobalamin. It effectively eliminated my anemia (B12 deficiency) and also helped with my neuropathy.
6
Relieves dizziness
1 people found this helpful
I take it frequently; it greatly aids in preventing dizziness due to anemia. Methyl B12 is beneficial for everyone, particularly the elderly. It has a significant impact on mood and calms the nervous system. Thank you, iHerb.
9
Eliminates anemia
1 people found this helpful
Gorgeous! I adore this company’s B vitamins! My husband and I have issues with the folic cycle, so we regularly take this B-12 as per our tests! The dosage is good, and it has a pleasant taste! It works brilliantly and raises my vitamin B level – I consistently see this reflected in my tests! It helped me effectively cope with eliminating anemia in time.
7.5
No side effects
1 people found this helpful
An excellent choice for vitamin B12. I did not notice any negative side effects. I took it alongside other medications to address my anemia.
9
Tropical taste
Healthy and delicious! I use various brands, but I always prefer METHYLCOBALAMIN. There is nothing better for pernicious anemia. For those who enjoy tropical flavours, there's a delightful taste as well!
8
Pernicious anemia diagnosis and treatment
Rural health challenges in Western Uganda: pernicious anemia masquerading as recurrent lower limb weakness-a case report.
We explored a case involving a 51-year-old Ugandan man who experienced recurring lower limb weakness and was ultimately diagnosed with pernicious anemia. His condition stemmed from vitamin B12 deficiency, confirmed by blood tests showing macrocytic anemia and low cobalamin levels.
With treatment using methylcobalamin injections, he showed significant improvement. This case emphasizes the need for heightened awareness of vitamin B12 deficiency in diagnosing anemia, especially in areas with limited health resources.
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.
9
Effective B12 treatment for anemia
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.
We conducted a study to explore how effective different vitamin B12 supplements are at increasing levels of this crucial vitamin in people with a deficiency. This clinical trial involved healthy adults who were found to have low B12 levels.
Our research spanned across three centers in Pakistan, where participants received either a new formulation of Sucrosomial vitamin B12 or conventional B12 supplements. They took a daily dose for seven days, and we measured their serum B12 levels at various points before and after the treatment.
What we found was quite significant: the Sucrosomial vitamin B12 was notably better at elevating and maintaining higher B12 levels in the bloodstream compared to traditional options. This is important because low vitamin B12 can lead to serious health issues, like megaloblastic anemia and neurological problems.
Overall, this innovative supplement could offer a valuable solution for individuals with B12 deficiency, especially those who may have absorption issues. Our findings support the potential of Sucrosomial vitamin B12 in enhancing health through improved nutrient bioavailability.
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.
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.
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 10.3389/fnut.2024.1493593