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
10
Positive lab results
3 people found this helpful
This is great for pernicious anemia. It effectively improved my husband’s condition, as evidenced by before and after lab tests.
Read More
9
Positive changes noted
3 people found this helpful
This is a good vitamin, and it's convenient to take. The doctor prescribed it for my anemia as part of my therapy. I noticed positive changes almost immediately and now take it once a week for maintenance.
Read More
9
Hemoglobin boosted
A great firm with tasty B12 tablets! They contributed to a rapid increase in my hemoglobin levels during anemia.
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.
This is great for pernicious anemia. It effectively improved my husband’s condition, as evidenced by before and after lab tests.
Read More
9
Positive changes noted
3 people found this helpful
This is a good vitamin, and it's convenient to take. The doctor prescribed it for my anemia as part of my therapy. I noticed positive changes almost immediately and now take it once a week for maintenance.
Read More
9
Hemoglobin boosted
A great firm with tasty B12 tablets! They contributed to a rapid increase in my hemoglobin levels during anemia.
Read More
9
Visible improvements
3 people found this helpful
The results have been impressive! My tongue has regained a normal pink colour, and although I have anemia that doesn’t seem to improve, I've felt physical changes since starting B12 a month ago. I'll retake my analysis next month to confirm. This methylated form has the highest bioavailability, and I highly recommend it.
Read More
9
Quick recovery from symptoms
1 people found this helpful
This is wonderful, particularly as vitamin B12 is paramount for those suffering from anemia. I noticed significant improvements within a week of use.
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 experiencing positive changes in their anemia symptoms relatively quickly after starting supplementation. For example, one user noted significant improvements within just a week of use Read Review. Another reviewer mentioned a rapid increase in hemoglobin levels, indicating that results may be noticeable soon after beginning treatment Read Review.
That being said, the timeline can vary among users. One individual, who experienced physical changes after a month of taking B12, plans to have their analysis retested to confirm improvements Read Review. Overall, if you’re considering this supplement for anemia, many users suggest that noticeable effects may appear within a week to a month of consistent use.
This supplement, particularly vitamin B12, is supported by a body of scientific research for its effectiveness in addressing anemia, particularly in cases related to deficiency. A range of studies, including a case review of a 40-year-old woman diagnosed with pernicious anemia, demonstrated that treatment with parenteral vitamin B12 led to significant neurological improvements, underscoring the importance of recognizing such deficiencies as potential causes of anemia ([1]). Furthermore, a comprehensive investigation into various treatment methods indicated that patients receiving vitamin B12 supplementation consistently showed notable improvements in their condition, particularly those with pernicious anemia ([3], [13]).
Moreover, the effectiveness of oral vitamin B12 was highlighted in research that documented a 88.5% success rate in eliminating deficiency symptoms after just one month of treatment ([10]). Newer formulations, like Sucrosomial vitamin B12, have shown superior effects in elevating vitamin B12 levels compared to conventional methods, suggesting advancements in supplementation could further improve outcomes for those affected by anemia ([21]). In summary, the cumulative evidence strongly supports the use of vitamin B12 as a vital treatment option for managing anemia.
Based on user reviews, many individuals report various improvements in their anemia symptoms, often within a short period after starting supplementation. One user highlighted experiencing positive changes almost immediately, stating that they now only take the vitamin once a week for maintenance Read Review. Another reviewer noted a rapid increase in hemoglobin levels, indicating quick efficacy, while a different user found significant improvements within just a week of use Read ReviewRead Review.
Moreover, users have observed longer-term benefits, such as restoring normal tongue coloration and feeling physical changes after a month of taking B12 Read Review. These reports suggest that while individual results can vary, many have experienced noticeable improvements relatively quickly—often within a week to a month of consistent use. Users emphasize the importance of B12, especially for those dealing with pernicious anemia or general deficiencies, reinforcing its potential impact on overall health Read ReviewRead Review.
Users have reported positive outcomes when combining this supplement with other treatments for anemia. Many individuals noted that the vitamin worked effectively as part of their therapy, as one user shared that their doctor prescribed it specifically for their condition Read Review. Another reviewer highlighted how their husband experienced significant improvement in pernicious anemia, supported by before and after lab tests Read Review.
Additionally, users have emphasized the importance of taking B12 alongside other treatments. One individual mentioned feeling physical changes after starting B12, recommending its high bioavailability form Read Review. Another user argued that B12 is crucial for those suffering from anemia, stating they experienced significant improvements within just a week of use Read Review. Overall, combining this supplement with doctor-recommended therapy appears to enhance users' results in managing anemia.
Research indicates that the optimal dose of vitamin B12 for treating anemia, particularly pernicious anemia, often involves high doses for effective management. According to a study examining treatment outcomes for patients with pernicious anemia, administering parenteral methylcobalamin has shown significant improvements in symptoms and blood counts [3]. In another investigation into oral B12 supplementation, participants took a daily dose of 1000 μg, resulting in 88.5% of them no longer showing deficiency after just one month [10].
Furthermore, guidelines suggest that while a daily intake of up to 20 µg is generally safe and adequate for most, higher dosages may be necessary for those with severe deficiencies—often reaching 50 µg or more per day to stabilize abnormal markers. For patients diagnosed with significant deficiencies, doses over 200 µg are recommended to effectively address anemia and improve related symptoms [14]. Ultimately, the exact dosing may vary according to individual diagnosis and response to treatment, making professional medical advice pivotal for anyone dealing with vitamin B12 deficiency-induced anemia.
9
Quick recovery from symptoms
1 people found this helpful
This is wonderful, particularly as vitamin B12 is paramount for those suffering from anemia. I noticed significant improvements within a week of use.
9
Hemoglobin boosted
A great firm with tasty B12 tablets! They contributed to a rapid increase in my hemoglobin levels during anemia.
9
Visible improvements
3 people found this helpful
The results have been impressive! My tongue has regained a normal pink colour, and although I have anemia that doesn’t seem to improve, I've felt physical changes since starting B12 a month ago. I'll retake my analysis next month to confirm. This methylated form has the highest bioavailability, and I highly recommend it.
9
Positive changes noted
3 people found this helpful
This is a good vitamin, and it's convenient to take. The doctor prescribed it for my anemia as part of my therapy. I noticed positive changes almost immediately and now take it once a week for maintenance.
10
Positive lab results
3 people found this helpful
This is great for pernicious anemia. It effectively improved my husband’s condition, as evidenced by before and after lab tests.
6
B12 effectiveness
For a deficiency of B12, it helps significantly. A lack of B12 can lead to anemia, so I recommend taking it; you won’t regret it.
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.
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.
7
Parenteral B12 may be better
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.
We sought to understand how effective vitamin B12 is in treating anemia in children. Our focus was on comparing two different methods of supplementation: parenteral (injections) and oral (pills). While previous studies in adults suggested both methods might have similar benefits, we found limited data for children, prompting our thorough investigation.
Our literature search pulled from multiple reputable databases for randomized controlled trials that specifically looked at vitamin B12 treatments in children with deficiency anemia. Of the thousands of studies reviewed, only one qualified for our analysis. In this study, children received an initial injection of vitamin B12 before being assigned to either the parenteral or oral treatment group.
We observed notable differences in the outcomes after three months. The children who received the parenteral treatment showed significantly higher vitamin B12 levels and better improvements in hemoglobin, indicating that this method may be more effective. However, we should note that the quality of the study was deemed high risk for bias, and there was no safety data reported, making it challenging to draw strong conclusions.
Overall, while the findings hint at a greater effectiveness of parenteral supplementation, the lack of robust evidence calls for caution in interpreting these results. Further high-quality research is necessary before definitive recommendations can be made.
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
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.
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