Overview

SCIENTIFIC SCORE
Questionable
Based on 13 Researches
6.2
USERS' SCORE
Moderately Good
Based on 18 Reviews
7.7
Supplement Facts
Serving Size: 1 Tablet
Amount Per Serving
%DV
Vitamin B6 (as Pyridoxal-5-Phosphate)
1.5 mg
88%
Folate (400 mcg as (6S)-5-MTHF [from (6S)-5-Methyltetrahydrofolate Glucosamine Salt])
680 mcg DFE‡
170%
Vitamin B12 (as Methylcobalamin)
1,000 mcg
41,667%

Top Medical Research Studies

0
Vitamin B12 ineffective for CFS
We explored the effectiveness of high-dose vitamin B12 injections on chronic fatigue syndrome (CFS) through two case reports that utilized N of 1 trials. This approach allowed us to make tailored treatment decisions based on individual responses to the therapy.

In one case, we found that high-dose vitamin B12 injections did not yield positive results, leaving the patient without significant relief from their symptoms. Conversely, in another case, we observed that nimodipine proved to be a very effective treatment for that patient’s chronic fatigue.

These findings suggest that while vitamin B12 may not be helpful for everyone suffering from CFS, other treatments like nimodipine can be beneficial. Thus, personalized treatment strategies are key in managing this complex and varied condition.
Read More
9
Folinic acid improves CFS symptoms
We aimed to explore the effects of folinic acid, also known as leucovorin, on patients suffering from chronic fatigue syndrome (CFS). Our investigation revealed some fascinating findings about this often misunderstood condition, particularly the links to immune response and Epstein-Barr virus (EBV) infection.

In our evaluation of 58 CFS patients, we discovered that nearly all had previously been exposed to EBV, with a striking 72% showing signs of active reactivation. Additionally, an overwhelming 94% were found to have a severe B-cell immunodeficiency, evidenced by a marked reduction in their CD19+IgM+ mature B-lymphocyte population.

What stood out was that after treatment with folinic acid, an impressive 81% of the participants reported experiencing a noticeable improvement in their symptoms. This suggests that folinic acid might play a significant role in the management of CFS, particularly for those struggling with related immune deficiencies and EBV responses.

Our findings bring new insights into CFS, indicating that it may be a condition responding well to folinic acid treatment. This opens up exciting avenues for further research into effective therapies for those affected by this challenging syndrome.
Read More
8
Folate improves fatigue-related disorders
We examined two groups of patients who exhibited neurological and psychiatric disorders responsive to folic acid treatment. The first group of seven individuals suffered from an acquired folate deficiency due to either poor absorption of nutrients or an inadequate diet. Their symptoms included significant fatigue, weight loss, and various neurological impairments. The second group, consisting of nine patients, presented idiopathic folate deficiency with chronic fatigue and family histories of restless legs syndrome.

Through neuropsychological testing, we observed abnormal intellectual functioning in all patients, along with issues highlighted on imaging studies like computerized transaxial tomography. Remarkably, after 6 to 12 months of folic acid therapy, a substantial improvement in their cognitive abilities and overall functioning was recorded.

This suggests that addressing folate deficiency might alleviate some aspects of fatigue and cognitive decline commonly associated with chronic fatigue syndrome. Our findings imply that long-term folate supplementation may lead to positive changes in those struggling with fatigue-related conditions, although the label of chronic fatigue syndrome was not explicitly used.
Read More

Most Useful Reviews

9
Numbness alleviated
7 people found this helpful
After developing chronic fatigue syndrome with numbness due to poor posture, I sought a supplement. After a week of taking vitamin B12, my symptoms lessened significantly. Within a month, the numbness vanished, and I felt much better. If you face similar issues, I strongly recommend trying this supplement.
Read More
9
Effective treatment
1 people found this helpful
This supplement combines B12, B9, and B6, addressing various symptoms, including chronic fatigue syndrome. I had irritability, confusion, and fatigue, but after consistent use, my symptoms have improved significantly. The product quality is excellent, and I appreciate its pleasant taste.
Read More
7.5
Improved blood counts
26 people found this helpful
My husband, who has type 2 diabetes, experienced decreased vitamin B12 and folic acid levels due to medication. After taking this product sublingually for three months, his blood counts normalised, and his homocysteine levels dropped. I highly recommend it for its positive impact on chronic fatigue syndrome symptoms related to diabetes.
Read More

Medical Researches

SCIENTIFIC SCORE
Questionable
Based on 13 Researches
6.2
  • All Researches
9
Folinic acid improves CFS symptoms
We aimed to explore the effects of folinic acid, also known as leucovorin, on patients suffering from chronic fatigue syndrome (CFS). Our investigation revealed some fascinating findings about this often misunderstood condition, particularly the links to immune response and Epstein-Barr virus (EBV) infection.

In our evaluation of 58 CFS patients, we discovered that nearly all had previously been exposed to EBV, with a striking 72% showing signs of active reactivation. Additionally, an overwhelming 94% were found to have a severe B-cell immunodeficiency, evidenced by a marked reduction in their CD19+IgM+ mature B-lymphocyte population.

What stood out was that after treatment with folinic acid, an impressive 81% of the participants reported experiencing a noticeable improvement in their symptoms. This suggests that folinic acid might play a significant role in the management of CFS, particularly for those struggling with related immune deficiencies and EBV responses.

Our findings bring new insights into CFS, indicating that it may be a condition responding well to folinic acid treatment. This opens up exciting avenues for further research into effective therapies for those affected by this challenging syndrome.
Read More
8
Beta-glucan shows cognitive benefits
We conducted a study exploring the effects of beta-glucan combined with vitamins, including vitamin B6, on individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). This research involved a 36-week trial where 65 participants were split into two groups: one received a daily supplement containing beta-glucan and vitamins, while the other received a placebo.

While the beta-glucan supplementation showed promising results in reducing cognitive fatigue, the specific impact of vitamin B6 on chronic fatigue syndrome was not clearly determined. This is because vitamin B6 was part of a combination treatment, making it difficult to assess its isolated benefits.

Ultimately, we observed that yeast-derived beta-glucan might hold potential in alleviating cognitive challenges associated with ME/CFS, which opens up avenues for further research. However, it’s important to remember that additional studies are needed to fully understand how vitamin B6 and other components contribute to this condition.
Read More
8
Folate improves fatigue-related disorders
We examined two groups of patients who exhibited neurological and psychiatric disorders responsive to folic acid treatment. The first group of seven individuals suffered from an acquired folate deficiency due to either poor absorption of nutrients or an inadequate diet. Their symptoms included significant fatigue, weight loss, and various neurological impairments. The second group, consisting of nine patients, presented idiopathic folate deficiency with chronic fatigue and family histories of restless legs syndrome.

Through neuropsychological testing, we observed abnormal intellectual functioning in all patients, along with issues highlighted on imaging studies like computerized transaxial tomography. Remarkably, after 6 to 12 months of folic acid therapy, a substantial improvement in their cognitive abilities and overall functioning was recorded.

This suggests that addressing folate deficiency might alleviate some aspects of fatigue and cognitive decline commonly associated with chronic fatigue syndrome. Our findings imply that long-term folate supplementation may lead to positive changes in those struggling with fatigue-related conditions, although the label of chronic fatigue syndrome was not explicitly used.
Read More
8
Vitamin B12 drops show promise
We examined the impact of vitamin B12 nasal drops on individuals suffering from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Our study involved fifty-one patients, predominantly female, with an average age of 42 and an average illness duration of 16 years.

After three months of treatment, we measured their vitamin B12 serum levels, physical activity, and fatigue and concentration levels. Interestingly, we found that the participants who responded positively to the treatment experienced significant improvements in their vitamin B12 levels, daily step count, and overall physical activity. Moreover, those who reported a positive response noted a decrease in fatigue levels.

On the flip side, those categorized as non-responders had only a modest increase in vitamin B12 levels, with no notable improvement in other measures. Overall, our findings suggest that nasal drops could serve as a viable alternative to vitamin B12 injections, especially since around two-thirds of participants reported feeling better after treatment. This pilot study opens up new avenues for interventions in managing ME/CFS and highlights the importance of considering alternative treatment methods.
Read More
8
Potential effects on chronic fatigue
We recently came across an intriguing study that highlighted the potential benefits of a combination therapy involving lofepramine, L-phenylalanine, and vitamin B12 for patients suffering from multiple sclerosis (MS). Conducted as a randomized, placebo-controlled double-blind trial, the research aimed to evaluate how this combination could help alleviate various symptoms associated with MS and chronic pain.

While this study did address the role of vitamin B12, it was examined alongside lofepramine and phenylalanine. This makes it challenging for us to pinpoint the specific impact of vitamin B12 in the context of chronic fatigue syndrome on its own. The treatment showed effectiveness in improving symptoms within just two to four weeks, but due to the combination of treatments, we need more focused studies to assess vitamin B12's distinct role.

Overall, it's exciting to see a potential link between this therapy and symptom relief, yet we must remain cautious about attributing the benefits solely to vitamin B12, given the blended approach of the therapy used in the trial.
Read More

User Reviews

USERS' SCORE
Moderately Good
Based on 18 Reviews
7.7
  • All Reviews
  • Positive Reviews
  • Negative Reviews
9
Numbness alleviated
7 people found this helpful
After developing chronic fatigue syndrome with numbness due to poor posture, I sought a supplement. After a week of taking vitamin B12, my symptoms lessened significantly. Within a month, the numbness vanished, and I felt much better. If you face similar issues, I strongly recommend trying this supplement.
Read More
9
Effective treatment
1 people found this helpful
This supplement combines B12, B9, and B6, addressing various symptoms, including chronic fatigue syndrome. I had irritability, confusion, and fatigue, but after consistent use, my symptoms have improved significantly. The product quality is excellent, and I appreciate its pleasant taste.
Read More
7.5
Improved blood counts
26 people found this helpful
My husband, who has type 2 diabetes, experienced decreased vitamin B12 and folic acid levels due to medication. After taking this product sublingually for three months, his blood counts normalised, and his homocysteine levels dropped. I highly recommend it for its positive impact on chronic fatigue syndrome symptoms related to diabetes.
Read More
7.5
Reduced dizziness
10 people found this helpful
I used this for a month to address lethargy and fatigue, as well as hair loss. My previous spinning and dizziness issues have disappeared, along with less hair loss.
Read More
7.5
Immediate energy boost
5 people found this helpful
Struggling with chronic fatigue syndrome, I noticed a remarkable increase in my energy levels after taking this lozenge. It contains multiple B vitamins that work well together. The boost was both immediate and significant, making it a valuable addition to my health regimen.
Read More

Frequently Asked Questions

9
Numbness alleviated
7 people found this helpful
After developing chronic fatigue syndrome with numbness due to poor posture, I sought a supplement. After a week of taking vitamin B12, my symptoms lessened significantly. Within a month, the numbness vanished, and I felt much better. If you face similar issues, I strongly recommend trying this supplement.
7.5
Immediate energy boost
5 people found this helpful
Struggling with chronic fatigue syndrome, I noticed a remarkable increase in my energy levels after taking this lozenge. It contains multiple B vitamins that work well together. The boost was both immediate and significant, making it a valuable addition to my health regimen.
7.5
Health improvement noted
2 people found this helpful
These pleasant, lemon-flavoured tablets were advised for someone who doesn't consume meat. After two weeks, I saw significant health improvements: less apathy, improved skin, and enhanced sleep. By the third month, issues related to chronic fatigue syndrome, such as tachycardia and digestive colic, had notably improved.
9
Effective treatment
1 people found this helpful
This supplement combines B12, B9, and B6, addressing various symptoms, including chronic fatigue syndrome. I had irritability, confusion, and fatigue, but after consistent use, my symptoms have improved significantly. The product quality is excellent, and I appreciate its pleasant taste.
7.5
Reduced dizziness
10 people found this helpful
I used this for a month to address lethargy and fatigue, as well as hair loss. My previous spinning and dizziness issues have disappeared, along with less hair loss.
7.5
Better sleep quality
As my first purchase, I'm taking one tablet daily before bed to tackle sleep issues and fatigue. The chewable, sweet and sour taste makes it enjoyable. Since taking it with magnesium, I've noticed improved sleep.
7.5
Increased energy levels
High-quality iron supplements with folate and vitamin B can enhance blood health and increase red blood cell production, helping individuals with chronic fatigue syndrome. They aid circulation and elevate energy levels.
9
Boosted exercise energy
After researching chronic migraines and fatigue, I found that methylfolate can be beneficial for those with the MTHFR mutation. This supplement has noticeably increased my energy levels, allowing me to exercise, particularly post-recovery from an illness.
7.5
Improved blood counts
26 people found this helpful
My husband, who has type 2 diabetes, experienced decreased vitamin B12 and folic acid levels due to medication. After taking this product sublingually for three months, his blood counts normalised, and his homocysteine levels dropped. I highly recommend it for its positive impact on chronic fatigue syndrome symptoms related to diabetes.
We examined the effects of vitamin B12 injections, combined with folic acid, on 38 patients with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome.

Participants were split into "Good" and "Mild" responders based on their improvement. Good responders reported greater progress with more frequent injections and higher doses of both supplements.

However, for Mild responders, the improvement was limited, suggesting that while there is potential for benefit, the response can vary widely among individuals. Overall, further investigation is needed to explore optimal treatment strategies.
8
Beta-glucan shows cognitive benefits
We conducted a study exploring the effects of beta-glucan combined with vitamins, including vitamin B6, on individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). This research involved a 36-week trial where 65 participants were split into two groups: one received a daily supplement containing beta-glucan and vitamins, while the other received a placebo.

While the beta-glucan supplementation showed promising results in reducing cognitive fatigue, the specific impact of vitamin B6 on chronic fatigue syndrome was not clearly determined. This is because vitamin B6 was part of a combination treatment, making it difficult to assess its isolated benefits.

Ultimately, we observed that yeast-derived beta-glucan might hold potential in alleviating cognitive challenges associated with ME/CFS, which opens up avenues for further research. However, it’s important to remember that additional studies are needed to fully understand how vitamin B6 and other components contribute to this condition.
9
Folinic acid improves CFS symptoms
We aimed to explore the effects of folinic acid, also known as leucovorin, on patients suffering from chronic fatigue syndrome (CFS). Our investigation revealed some fascinating findings about this often misunderstood condition, particularly the links to immune response and Epstein-Barr virus (EBV) infection.

In our evaluation of 58 CFS patients, we discovered that nearly all had previously been exposed to EBV, with a striking 72% showing signs of active reactivation. Additionally, an overwhelming 94% were found to have a severe B-cell immunodeficiency, evidenced by a marked reduction in their CD19+IgM+ mature B-lymphocyte population.

What stood out was that after treatment with folinic acid, an impressive 81% of the participants reported experiencing a noticeable improvement in their symptoms. This suggests that folinic acid might play a significant role in the management of CFS, particularly for those struggling with related immune deficiencies and EBV responses.

Our findings bring new insights into CFS, indicating that it may be a condition responding well to folinic acid treatment. This opens up exciting avenues for further research into effective therapies for those affected by this challenging syndrome.

References

  1. Regland B, Forsmark S, Halaouate L, Matousek M, Peilot B, et al. Response to vitamin B12 and folic acid in myalgic encephalomyelitis and fibromyalgia. PLoS One. 2015;10:e0124648. 10.1371/journal.pone.0124648
  2. Lacasa M, Alegre-Martin J, Sentañes RS, Varela-Sende L, Jurek J, et al. Yeast Beta-Glucan Supplementation with Multivitamins Attenuates Cognitive Impairments in Individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial. Nutrients. 2023;15. 10.3390/nu15214504
  3. Heap LC, Peters TJ, Wessely S. Vitamin B status in patients with chronic fatigue syndrome. J R Soc Med. 1999;92:183.
  4. Lundell K, Qazi S, Eddy L, Uckun FM. Clinical activity of folinic acid in patients with chronic fatigue syndrome. Arzneimittelforschung. 2006;56:399.
  5. Jacobson W, Saich T, Borysiewicz LK, Behan WM, Behan PO, et al. Serum folate and chronic fatigue syndrome. Neurology. 1993;43:2645.
  6. Kaslow JE, Rucker L, Onishi R. Liver extract-folic acid-cyanocobalamin vs placebo for chronic fatigue syndrome. Arch Intern Med. 1989;149:2501.
  7. Botez MI, Fontaine F, Botez T, Bachevalier J. Folate-responsive neurological and mental disorders: report of 16 cases. Neuropsychological correlates of computerized transaxial tomography and radionuclide cisternography in folic acid deficiencies. Eur Neurol. 1977;16:230.
  8. van Campen CLM, Riepma K, Visser FC. Open Trial of Vitamin B12 Nasal Drops in Adults With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Comparison of Responders and Non-Responders. Front Pharmacol. 2019;10:1102. 10.3389/fphar.2019.01102
  9. Loder C, Allawi J, Horrobin DF. Treatment of multiple sclerosis with lofepramine, L-phenylalanine and vitamin B(12): mechanism of action and clinical importance: roles of the locus coeruleus and central noradrenergic systems. Med Hypotheses. 2002;59:594.
  10. Devitt NF. Chronic fatigue syndrome. JAMA. 1998;279:432.
  11. Regland B, Andersson M, Abrahamsson L, Bagby J, Dyrehag LE, et al. Increased concentrations of homocysteine in the cerebrospinal fluid in patients with fibromyalgia and chronic fatigue syndrome. Scand J Rheumatol. 1997;26:301.
  12. Wiebe E. N of 1 trials. Managing patients with chronic fatigue syndrome: two case reports. Can Fam Physician. 1996;42:2214.
  13. Demitrack MA, Engleberg NC. Chronic fatigue syndrome. Curr Ther Endocrinol Metab. 1994;5:135.
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