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.
Read More
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.
Read More
Most Useful Reviews
10
Numbness alleviated
7 people found this helpful
B12 improves peripheral neuropathy. After taking the first tablet, the numbness in my right foot, which persisted for over three years, has almost completely disappeared. I was surprised by its immediate effect, and I believe my previous diet influenced my condition.
Read More
10
Miracle for pain
1 people found this helpful
I give this to my mother for her foot pain. She developed diabetes at age 90 and suffered from burning feet every night. After taking 4 tablets (4000 mcg) at dinner, it has been a miracle worker. I love the methyl form of B12 for better absorption, and Jarrow provides great products at a good price.
Read More
9
Effective for neuropathy
1 people found this helpful
If anyone experiences burning, zips, zaps, or symptoms of neuropathy, I recommend trying this product. It works effectively for me.
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.
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.
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.
Read More
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.
B12 improves peripheral neuropathy. After taking the first tablet, the numbness in my right foot, which persisted for over three years, has almost completely disappeared. I was surprised by its immediate effect, and I believe my previous diet influenced my condition.
Read More
10
Miracle for pain
1 people found this helpful
I give this to my mother for her foot pain. She developed diabetes at age 90 and suffered from burning feet every night. After taking 4 tablets (4000 mcg) at dinner, it has been a miracle worker. I love the methyl form of B12 for better absorption, and Jarrow provides great products at a good price.
Read More
9
Effective for neuropathy
1 people found this helpful
If anyone experiences burning, zips, zaps, or symptoms of neuropathy, I recommend trying this product. It works effectively for me.
Read More
9
Good absorption
Even though it is the same vitamin 12, it is the active form, meaning it has a better absorption rate and is beneficial for peripheral neuropathy and nerve damage. It is also helpful for diabetic neuropathy. People on diabetes medication should consider taking it.
Read More
9
Relieves foot pain
This is good for neuropathy foot pain. It melts under the tongue for quick absorption and alleviates foot pain immediately. However, it's advisable not to use it for extended periods, as B12 can accumulate in the system.
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 to see results from taking B12 supplements for neuropathy varies but can often be quite immediate. Some users, like one who experienced improvement after just one dose, reported a significant reduction in symptoms such as numbness and burning sensations within a day of starting the supplement Read Review. Others noted that within a few doses over a short period, prominent relief was experienced, with several users specifying they felt results after just a few days to a couple of weeks of consistent use, particularly with the sublingual form that allows for quicker absorption Read Review.
However, individual responses can vary, as some users emphasize the importance of long-term use while ensuring that it does not lead to toxicity from accumulation Read Review. It's also common for users to combine this supplement with other health practices, so it's advisable to consult with your healthcare provider for personalized guidance. Overall, many users have found these supplements beneficial for managing neuropathy symptoms quite quickly, reinforcing the favorable reception of the product Read Review.
The scientific data indicates that vitamin B12 has significant potential in addressing neuropathy-related conditions. Multiple studies demonstrate the beneficial effects of vitamin B12 supplementation in individuals suffering from various types of neuropathy, including diabetic neuropathy and nerve damage attributed to vitamin deficiencies. For instance, a study reported notable improvements in diabetic ocular nerve palsy among patients treated with vitamin B12, suggesting its effectiveness in enhancing nerve recovery and addressing underlying nutritional deficiencies [3]. Additionally, cases involving patients with nutritional neuropathies illustrate how timely B12 treatment can lead to substantial neurological recovery [4], [11].
However, while the connection between vitamin B12 levels and neuropathy is established, results vary. For example, a study highlighted a correlation between vitamin B12 deficiency and diabetic peripheral neuropathy but also noted the complexity of isolating its effects from other factors [10]. Additionally, some cases have shown that although vitamin B12 treatment is beneficial, it may not always lead to expected improvements in neuropathy symptoms due to multifactorial influences [12]. Overall, vitamin B12 supplementation appears to be a promising adjunct therapy for managing neuropathy, particularly when used as part of a comprehensive treatment approach tailored to individual health needs.
Users have reported notable improvements in their symptoms of peripheral neuropathy after incorporating B12 supplements into their routines. For instance, one user experienced dramatic relief, with the numbness in their foot that had lasted over three years almost completely disappearing after just one tablet Read Review. Another praised the supplement for helping their elderly mother manage severe burning sensations in her feet linked to diabetes, highlighting how four tablets at dinner became a "miracle worker" for her condition Read Review.
Many users noted quicker absorption with the sublingual form of B12, contributing to immediate alleviation of foot pain and other neuropathy symptoms Read Review. One reviewer even stated their tingling sensations were reduced alongside tinnitus, showcasing the range of benefits this supplement may provide Read Review. Overall, while most users report positive changes, it’s essential to remember that individual results can vary greatly, and consultation with healthcare providers is recommended for tailored advice and safety Read Review.
Users report positive experiences when combining B12 supplements with other health practices for managing neuropathy. For example, many praise the effectiveness of methylcobalamin, particularly in its sublingual form, for quick absorption and immediate relief from symptoms like burning and tingling sensations. One user mentioned that after taking four tablets daily, they noted significant improvements in their elderly mother’s diabetic foot pain, calling it a “miracle worker” Read Review. Additionally, individuals with conditions such as diabetic neuropathy found this B12 form beneficial, emphasizing the importance of better absorption and effectiveness Read Review.
However, users also advise caution when combining supplements, noting that it is essential to consult healthcare professionals about long-term use and proper dosages to avoid complications like accumulation in the body Read Review. Overall, while there’s a general consensus on the efficacy of B12 for neuropathy, individual experiences can vary, and personalized guidance from healthcare providers is highly recommended Read Review.
Based on user reviews, many individuals report that taking B12, particularly the methylcobalamin form, has provided significant relief from neuropathy symptoms. Users often mention starting with higher doses, such as 4000 mcg, which they found remarkably effective in alleviating conditions like burning feet and numbness. One user specifically noted that after administering four 1000 mcg tablets to their mother, who suffered from diabetes-related foot pain, it worked as a "miracle" (Read Review).
Furthermore, users emphasized the importance of absorption, with some expressing a preference for sublingual tablets that dissolve quickly for better efficacy. A reviewer suggested that while B12 can be beneficial, it is advisable to avoid prolonged use due to the potential for accumulation in the system (Read Review). It is clear that while many report positive results with higher doses, consulting with a healthcare professional for personalized advice is recommended to ensure safety and efficacy (Read Review).
10
Numbness alleviated
7 people found this helpful
B12 improves peripheral neuropathy. After taking the first tablet, the numbness in my right foot, which persisted for over three years, has almost completely disappeared. I was surprised by its immediate effect, and I believe my previous diet influenced my condition.
7.5
Effective for neuropathy
They are very tasty and seem to work exceptionally well for my neuropathy.
9
Relieves foot pain
This is good for neuropathy foot pain. It melts under the tongue for quick absorption and alleviates foot pain immediately. However, it's advisable not to use it for extended periods, as B12 can accumulate in the system.
7.5
Helps my symptoms
1 people found this helpful
I have been using Jarrow Formulas, Methyl B-12 for years, and it helps my neuropathy symptoms significantly.
10
Miracle for pain
1 people found this helpful
I give this to my mother for her foot pain. She developed diabetes at age 90 and suffered from burning feet every night. After taking 4 tablets (4000 mcg) at dinner, it has been a miracle worker. I love the methyl form of B12 for better absorption, and Jarrow provides great products at a good price.
7.5
Reduces tingling
2 people found this helpful
My family suffers from diabetes and poor blood circulation. I have had sole pain and occasional tinnitus. After taking methylcobalamin, it has helped relieve the tingling in my feet and even reduced tinnitus. We will continue to use this product as it has good absorption without the need for biotransformation.
6
Cognitive improvement
This product helps with neuropathy and brain fog. I was recommended it at my local health food store. Always consult with your doctor or healthcare team to ensure that a supplement or dosage is appropriate for you. Heal well! :)
9
Good absorption
Even though it is the same vitamin 12, it is the active form, meaning it has a better absorption rate and is beneficial for peripheral neuropathy and nerve damage. It is also helpful for diabetic neuropathy. People on diabetes medication should consider taking it.
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.
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.
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.
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 10.1111/1753-0407.70045
Kulkantrakorn K, Chunhachatrachai P, Kulkantrakorn W. Nitrous oxide abuse and associated neurological diseases. BMC Neurol. 2024;24:461. 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. 10.1016/j.vascn.2024.107552