We observed five notable cases of acneiform eruptions linked to vitamin B12 in women aged 21 to 62. These eruptions manifested between one week and five months after starting vitamin B12 therapy.
The primary symptoms consisted of papules and pustules appearing mainly on the face. In three of the patients, these skin issues also extended to areas like the neck, shoulders, chest, and upper back, but interestingly, there were no signs of comedones or cysts.
Out of the five women, two had particularly high levels of vitamin B12 in their blood. A closer look at one patient's skin under a microscope revealed eosinophilic folliculitis, a type of inflammation in hair follicles. Fortunately, all patients experienced spontaneous and complete recovery within three to six weeks after stopping vitamin B12 treatment.
Overall, while vitamin B12 did not provide a benefit for acne treatment, it highlighted an unusual side effect of acne-like symptoms in these cases.
We observed a fascinating case involving a 47-year-old man who developed a skin condition after starting vitamin B12 treatment for pernicious anemia. Just six weeks into his weekly injections of hydroxocobalamin, he experienced a sudden and widespread outbreak of inflammatory acne-like bumps on his face and trunk. This skin eruption was not only extensive but also caused significant itching and included comedones, commonly known as blackheads, particularly on his chest.
Upon closer examination, the medical team diagnosed him with a vitamin B12-induced acneiform eruption, which is different from typical acne vulgaris. This distinction came from several unique factors, including the patient's age, the sudden onset of the condition, and the presence of pruritus (itching) alongside a uniform type of lesions across non-seborrheic areas.
After normalizing his vitamin B12 levels, the hydroxocobalamin injections were stopped, and lymecycline—a type of antibiotic—was introduced. Remarkably, this led to a complete resolution of his skin lesions within three months. This case highlights how vitamin B12 can have an unusual, but significant impact on skin health, demonstrating that its effects are not just limited to its role in blood health but can extend into dermatological issues as well.
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4
Vitamin B12 affects acne mechanisms
Vitamin B12 modulates the transcriptome of the skin microbiota in acne pathogenesis.
We explored how vitamin B12 influences the skin microbiota and its potential connection to acne development. By analyzing the skin microbiota of acne patients and healthy individuals, we found that there are significant differences in the transcriptional profiles of these groups. Specifically, we noticed that the pathway responsible for vitamin B12 biosynthesis in a skin bacterium called Propionibacterium acnes was less active in those with acne.
To dive deeper, we conducted an experiment with healthy subjects who were given vitamin B12 supplements. Our findings showed that this supplementation suppressed the expression of vitamin B12 production genes in P. acnes and altered the overall activity of the skin microbiota. Interestingly, one participant developed acne just a week after starting the supplements, shedding light on a possible mechanism behind the observed connections.
Additionally, we identified that vitamin B12 supplemented P. acnes cultures led to an increased production of porphyrins, compounds known to trigger inflammation associated with acne. This suggests a novel pathway through which vitamin B12 may influence acne development, aligning with clinical observations that some individuals experience breakouts following vitamin B12 supplementation.
Overall, our study emphasizes the complex interplay between vitamin B12 and the skin microbiota, hinting at its pivotal role in acne pathogenesis.
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Most Useful Reviews
9
Chin acne disappeared
6 people found this helpful
I bought it for fertility, but it remarkably improved my acne. I previously took Chocola BB for my skin, but this time started with different intentions, only to be pleased with the outcome. My chin acne, which typically flared before my period, has vanished. The small grain is easy to take, and I continue to use one daily.
Read More
0
Acne worsened initially
5 people found this helpful
Acid and not folate acid did not appeal to me from the outset. The very next day after starting, I experienced an outburst of acne that made it difficult to leave the house. Each day, the acne worsened, spreading beyond my face. I ceased taking it, and within one to two weeks, all the breakouts vanished.
Read More
0
B12 caused acne
The quality is great; however, the high level of B12 caused acne for me.
We observed a fascinating case involving a 47-year-old man who developed a skin condition after starting vitamin B12 treatment for pernicious anemia. Just six weeks into his weekly injections of hydroxocobalamin, he experienced a sudden and widespread outbreak of inflammatory acne-like bumps on his face and trunk. This skin eruption was not only extensive but also caused significant itching and included comedones, commonly known as blackheads, particularly on his chest.
Upon closer examination, the medical team diagnosed him with a vitamin B12-induced acneiform eruption, which is different from typical acne vulgaris. This distinction came from several unique factors, including the patient's age, the sudden onset of the condition, and the presence of pruritus (itching) alongside a uniform type of lesions across non-seborrheic areas.
After normalizing his vitamin B12 levels, the hydroxocobalamin injections were stopped, and lymecycline—a type of antibiotic—was introduced. Remarkably, this led to a complete resolution of his skin lesions within three months. This case highlights how vitamin B12 can have an unusual, but significant impact on skin health, demonstrating that its effects are not just limited to its role in blood health but can extend into dermatological issues as well.
Read More
9.5
Vitamin B12 causes acne-like eruptions
Acneiform eruptions caused by vitamin B12: A report of five cases and review of the literature.
We observed five notable cases of acneiform eruptions linked to vitamin B12 in women aged 21 to 62. These eruptions manifested between one week and five months after starting vitamin B12 therapy.
The primary symptoms consisted of papules and pustules appearing mainly on the face. In three of the patients, these skin issues also extended to areas like the neck, shoulders, chest, and upper back, but interestingly, there were no signs of comedones or cysts.
Out of the five women, two had particularly high levels of vitamin B12 in their blood. A closer look at one patient's skin under a microscope revealed eosinophilic folliculitis, a type of inflammation in hair follicles. Fortunately, all patients experienced spontaneous and complete recovery within three to six weeks after stopping vitamin B12 treatment.
Overall, while vitamin B12 did not provide a benefit for acne treatment, it highlighted an unusual side effect of acne-like symptoms in these cases.
Read More
9
Tracnil™ shows efficacy for acne
Efficacy and Safety of Tracnil™ Administration in Patients with Dermatological Manifestations of PCOS: An Open-Label Single-Arm Study.
We evaluated the effectiveness of Tracnil™, a blend of myo-inositol, folic acid, and vitamin D3, in treating acne among 33 overweight women with normal hormone levels. This single-arm study monitored acne severity, hirsutism, and menstrual irregularities over eight weeks.
Results revealed significant reductions in acne lesions and improvements in hirsutism and menstrual cycles, all with minimal side effects. Although the subjects had normal hormone levels, Tracnil™ seemed to enhance receptor sensitivity to sex hormones, positioning it as a promising first-line treatment for acne linked to PCOS.
Read More
9
NicAzel Supplement Shows Promise
Inflammatory acne management with a novel prescription dietary supplement.
We examined the impact of adding a new dietary supplement, NicAzel, to existing acne treatments in 235 patients with inflammatory acne vulgaris over an 8-week period.
The study showed promising results, with 88% of participants reporting a reduction in inflammatory lesions after using NicAzel. Moreover, 81% felt their complexion improved significantly, and many rated this supplement as effective as previous antibiotic treatments.
However, it's essential to note that while these findings are encouraging, further studies are needed to fully understand its long-term efficacy and safety.
Read More
9
Nicomide shows notable acne improvement
The Nicomide Improvement in Clinical Outcomes Study (NICOS): results of an 8-week trial.
We conducted a study to evaluate how effective Nicomide, which includes folic acid, is for treating acne and rosacea. Over eight weeks, 198 patients tracked their progress. Remarkably, 79% reported noticeable improvements after just four weeks, with many seeing over 50% reduction in lesions.
What’s interesting is that adding oral antibiotics didn’t enhance the results compared to using Nicomide alone. This suggests that Nicomide could be a valuable alternative to antibiotics for those struggling with these skin conditions.
I bought it for fertility, but it remarkably improved my acne. I previously took Chocola BB for my skin, but this time started with different intentions, only to be pleased with the outcome. My chin acne, which typically flared before my period, has vanished. The small grain is easy to take, and I continue to use one daily.
Read More
0
Acne worsened initially
5 people found this helpful
Acid and not folate acid did not appeal to me from the outset. The very next day after starting, I experienced an outburst of acne that made it difficult to leave the house. Each day, the acne worsened, spreading beyond my face. I ceased taking it, and within one to two weeks, all the breakouts vanished.
Read More
0
B12 caused acne
The quality is great; however, the high level of B12 caused acne for me.
Read More
2
Acne post-medication
1 people found this helpful
Prescribed by the doctor. Acne appeared after taking these pills, and I cannot recommend them.
Read More
7.5
Fewer breakouts observed
Folic acid was recommended to me by a doctor due to my complaints about the periodic appearance of acne during artificial menopause. Since starting it, my breakouts have lessened!
Acne is a common skin condition that affects people of all ages, though it's especially prevalent among teenagers and young adults. It occurs when hair follicles become clogged with oil and dead skin cells, leading to the formation of pimples, blackheads, and cysts. The main factors contributing to acne include excess oil production, hormonal changes, and the presence of bacteria on the skin. Acne can manifest in various forms, from mild cases with just a few breakouts to more severe forms that can cause significant inflammation and scarring.
Treatment for acne varies depending on its severity and can range from over-the-counter topical treatments like benzoyl peroxide and salicylic acid to prescription medications including retinoids and antibiotics. Lifestyle adjustments, such as maintaining a balanced diet and proper skin hygiene, may also contribute to managing and reducing breakouts. Despite being a common skin issue, the psychological impact of acne should not be underestimated, as it can affect self-esteem and overall quality of life.
Folic acid, also known as vitamin B9, is a water-soluble vitamin that plays a crucial role in many bodily functions, particularly in the synthesis of DNA and RNA. It is essential for cell division and is especially important during periods of rapid growth, such as during pregnancy and infancy. The body cannot produce folic acid on its own, which is why it must be obtained from dietary sources or supplements. Commonly found in leafy green vegetables, legumes, seeds, and fortified foods, folic acid is vital for preventing neural tube defects in developing fetuses and is often recommended for women of childbearing age.
In addition to its key role in pregnancy, folic acid contributes to the production of red blood cells and can help reduce the risk of certain types of anemia. Research has also suggested that adequate folic acid levels may be associated with lowered risk of heart disease and other health issues. Most health organizations recommend a daily intake of 400 micrograms for adults, with higher amounts suggested for pregnant women. Incorporating folate-rich foods into your diet, or considering supplementation, can help ensure you meet your folic acid needs.
Folic acid, a B-vitamin (B9), is primarily known for its role in cell division and its importance in fetal development during pregnancy. While it is not a direct treatment for acne, some studies suggest that maintaining adequate levels of folate might contribute to overall skin health. A deficiency in B vitamins, including folic acid, can potentially lead to various skin issues, as these vitamins play a role in maintaining healthy skin cell production and repair.
However, the connection between folic acid and acne specifically is not well-established in the scientific community. Most acne treatments focus on factors such as excess oil production, bacteria, and hormonal imbalances. If you're considering folic acid for skin health, it may be beneficial as part of a broader approach that includes topical treatments, a balanced diet, and skincare routines tailored to acne-prone skin. Always consult with a healthcare professional before starting any new supplement regimen, especially if you have persistent acne issues.
Based on user reviews, the time it takes to see results from taking supplements for acne can vary significantly. Some users, like one who reported a complete vanishing of chin acne that typically flared before their period after starting a supplement, suggest that improvement can be seen quite quickly, although a specific timeline isn't provided in their feedback Read Review. However, other users have experienced a worsening of their acne shortly after beginning their regimen, leading them to stop the supplement and notice that their breakouts diminished within one to two weeks after discontinuation Read Review.
Additionally, experiences with a more gradual response are also reported. A user mentioned that they noticed somewhat less acne, though the change wasn't dramatic, indicating that improvement might take time, perhaps requiring a longer commitment before observing beneficial effects Read Review. Overall, while some may experience quick improvements, a few users highlight a delay in noticeable results, emphasizing that individual responses to supplements can differ greatly.
Several studies indicate that certain supplements may have a beneficial role in managing acne, particularly in specific populations. For instance, research involving Tracnil™, a supplement that combines myo-inositol, folic acid, and vitamin D3, demonstrated significant reductions in acne lesions among women with normal hormone levels who exhibited symptoms of polycystic ovary syndrome (PCOS) [1]. This suggests that such blends may serve as an effective first-line treatment for acne linked to hormonal factors, even in individuals with normal hormone levels. Similarly, another study assessing personalized acne treatment strategies highlighted substantial improvements in participants using gender-specific oral supplements, including folic acid, although the specific contribution of each ingredient was not emphasized [4].
On the other hand, while folic acid and vitamin B supplementation were shown to affect isotretinoin treatment side effects, they were not found to directly improve acne severity [3]. Furthermore, evidence regarding vitamin B12 reveals a complex relationship, with some studies linking deficiency to higher acne severity, but unable to establish that B12 supplementation effectively treats acne [9]. Therefore, while there is growing scientific interest in the role of nutritional supplements in acne treatment, results vary, suggesting that more targeted research is necessary to definitively understand their impacts.
Based on user reviews, the improvement in symptoms varied significantly among users taking supplements, especially folic acid. Some individuals reported notable benefits, such as one user who experienced a complete disappearance of chin acne, which typically flared up before their menstrual cycle, after starting the supplement for fertility reasons Read Review. Another user shared their positive experience of reduced breakouts after using the supplement, indicating that it helped alleviate acne issues linked to hormonal changes Read Review.
However, not all experiences were favorable. Several users reported initial breakouts when starting the regimen, which led them to discontinue use, resulting in their acne clearing up within a few weeks Read Review. Others noted a lack of dramatic improvement and opted to continue their use in hope of future benefits despite their limited results Read Review. This anecdotal evidence emphasizes that while some may see rapid improvements, others may face adverse reactions or slow progress, indicating that individual responses to the supplements can significantly vary.
Based on user reviews, experiences with combining this supplement with others for handling acne vary greatly. Some users report positive outcomes, particularly with folic acid. For instance, one reviewer noted that after starting folic acid for fertility purposes, their chin acne—typically aggravated before menstruation—vanished entirely Read Review. Additionally, another user credited folic acid with reducing acne linked to hormonal changes, suggesting its effectiveness for some individuals Read Review.
Conversely, several users experienced adverse reactions when combining the supplement with others or incorporating it into their routine, leading to increased breakouts. One user recounted worsening acne shortly after starting the regimen, prompting them to discontinue use, which resulted in a complete resolution of their breakouts within a couple of weeks Read Review. Similarly, another user highlighted that the high level of B12 caused acne issues, raising concerns about potential reactions when combining supplements Read Review. Overall, while some find success, the report of negative effects when combining this supplement with others indicates that individual responses can be quite variable.
Based on user reviews, experiences with the appropriate dose of Folic Acid for treating acne vary significantly. Some users, like one who cited a drastic improvement in chin acne after taking a daily dose prescribed for fertility, reported positive outcomes with their acne clearing up entirely Read Review. In contrast, others experienced adverse reactions; for example, a reviewer stated they faced an initial outbreak after starting Folic Acid, which led them to stop the supplement Read Review.
Overall, while some individuals found that taking Folic Acid at a consistent low dose helped reduce their acne concerns, others have reported that it exacerbated their skin issues, particularly when higher doses of B12 were involved Read Review. This suggests that the response to Folic Acid can depend heavily on individual body chemistry and underlying conditions, and a cautious approach is recommended. Those considering this supplement for acne treatment should monitor their skin's reaction closely and consult with a healthcare professional if negative effects occur Read Review.
9
Chin acne disappeared
6 people found this helpful
I bought it for fertility, but it remarkably improved my acne. I previously took Chocola BB for my skin, but this time started with different intentions, only to be pleased with the outcome. My chin acne, which typically flared before my period, has vanished. The small grain is easy to take, and I continue to use one daily.
0
Acne worsened initially
5 people found this helpful
Acid and not folate acid did not appeal to me from the outset. The very next day after starting, I experienced an outburst of acne that made it difficult to leave the house. Each day, the acne worsened, spreading beyond my face. I ceased taking it, and within one to two weeks, all the breakouts vanished.
6
Minimal acne change
I heard that folic acid is beneficial for women's health before pregnancy, so I'm taking it for the future. Since I started, I feel like I've experienced somewhat less acne, but the change hasn't been dramatic. I'll continue taking it in hopes of future benefits.
7.5
Fewer breakouts observed
Folic acid was recommended to me by a doctor due to my complaints about the periodic appearance of acne during artificial menopause. Since starting it, my breakouts have lessened!
0
B12 caused acne
The quality is great; however, the high level of B12 caused acne for me.
0
Acne breakout occurred
Caution: may cause acne. Folic acid is beneficial for both men and women, and I took it while planning a pregnancy. The quality and ingredients matched the manufacturer's description. The capsules are small and easy to take, with no noticeable taste. However, my facial skin reacted poorly, resulting in large subcutaneous pimples, which prompted me to stop taking folic acid. Thankfully, everything returned to normal afterwards. It's a pity, as I wonder if I should have waited to see if it improved, but I was frightened and discontinued the vitamins.
9
Tracnil™ shows efficacy for acne
Efficacy and Safety of Tracnil™ Administration in Patients with Dermatological Manifestations of PCOS: An Open-Label Single-Arm Study.
We evaluated the effectiveness of Tracnil™, a blend of myo-inositol, folic acid, and vitamin D3, in treating acne among 33 overweight women with normal hormone levels. This single-arm study monitored acne severity, hirsutism, and menstrual irregularities over eight weeks.
Results revealed significant reductions in acne lesions and improvements in hirsutism and menstrual cycles, all with minimal side effects. Although the subjects had normal hormone levels, Tracnil™ seemed to enhance receptor sensitivity to sex hormones, positioning it as a promising first-line treatment for acne linked to PCOS.
7
Gender-specific supplements improve acne
Novel combination for the treatment of acne differentiated based on gender: a new step towards personalized treatment.
We explored a new skincare line aimed at treating mild to moderate acne, featuring gender-specific oral supplements and a topical cream. In a double-blinded clinical trial, participants reported significant improvements in their acne after 12 weeks, specifically those using the oral supplements, which included folic acid for women.
While the results were promising, indicating an effective treatment option, it’s crucial to know that the overall benefit linked to any specific ingredient, like folic acid, was not highlighted. The focus on personalized treatment represents an exciting advancement in acne therapy.
4
Folic acid's indirect health benefits
Efficacy of Folic Acid and Vitamin B Replacement Therapies in the Reduction of Adverse Effects of Isotretinoin: A Randomized Controlled Trial.
We investigated the effects of folic acid and vitamin B supplementation on patients undergoing isotretinoin treatment for acne. In our randomized controlled trial with 66 participants, one group received isotretinoin with supplementation while the other received isotretinoin alone.
The results showed that those who took folic acid and vitamin B had a significant reduction in homocysteine levels and an increase in folic acid and vitamin B levels. However, there were no notable benefits related to acne itself, suggesting that while there may be potential health benefits related to folate deficiency and homocysteine, folic acid does not directly impact acne severity.
5
Vitamin B12 deficiency linked to acne
The Relationship Between Nutritional Anemia and Acne: A Case-Control Study.
We delved into the relationship between nutritional anemia, specifically vitamin B12 deficiency, and acne among young individuals in the Qassim Region of Saudi Arabia. Utilizing a case-control study design, we compared a group of people with acne to a control group of similar age and demographics. Our research involved Electronic Health Records from a local outpatient department, which allowed us to analyze a broad set of data.
Throughout our investigation, we found that those suffering from acne had a noticeably higher rate of vitamin B12 deficiency—38.6% in the acne group compared to the control group. However, while we saw this correlation, we did not establish a significant relationship between overall vitamin B12 levels and various blood parameters related to anemia. This means that although vitamin B12 deficiency was more prevalent in those with acne, it doesn’t necessarily imply that treating acne specifically with vitamin B12 will yield positive results.
Ultimately, our findings open the door for further investigation into how nutritional factors, particularly vitamin B12, might influence acne severity or development. We believe additional studies are necessary to confirm the possible connections we've observed and to explore potential treatment pathways.
References
Ramanan EA, Ravi S, Anbu KRR, Michael M. Efficacy and Safety of Tracnil™ Administration in Patients with Dermatological Manifestations of PCOS: An Open-Label Single-Arm Study. Dermatol Res Pract. 2020;2020:7019126. doi:10.1155/2020/7019126
Advani K, Batra M, Tajpuriya S, Gupta R, Saraswat A, et al. Efficacy of combination therapy of inositols, antioxidants and vitamins in obese and non-obese women with polycystic ovary syndrome: an observational study. J Obstet Gynaecol. 2020;40:96. doi:10.1080/01443615.2019.1604644
Ghiasi M, Mortazavi H, Jafari M. Efficacy of Folic Acid and Vitamin B Replacement Therapies in the Reduction of Adverse Effects of Isotretinoin: A Randomized Controlled Trial. Skinmed. 2018;16:239.
Tolino E, Skroza N, Mambrin A, Bernardini N, Zuber S, et al. Novel combination for the treatment of acne differentiated based on gender: a new step towards personalized treatment. G Ital Dermatol Venereol. 2018;153:866. doi:10.23736/S0392-0488.18.05710-3
Shalita AR, Falcon R, Olansky A, Iannotta P, Akhavan A, et al. Inflammatory acne management with a novel prescription dietary supplement. J Drugs Dermatol. 2012;11:1428.
Niren NM, Torok HM. The Nicomide Improvement in Clinical Outcomes Study (NICOS): results of an 8-week trial. Cutis. 2006;77:17.
Ahmed SH, El-Kelish AA, Hafeez NA, El-Bakry ST. Influential Factors of Depression in Patients with Moderate and Severe Acne. J Clin Aesthet Dermatol. 2020;13:13.
Feily A. Successful Treatment of Isotretinoin Induced Musculoskeletal Pain by Vitamin B12 and Folic Acid. Open Access Maced J Med Sci. 2019;7:3726. doi:10.3889/oamjms.2019.799
Alharbi NM, AlGhofaili FA, Alsaud JS, Asiri LM, Almutairi SM, et al. The Relationship Between Nutritional Anemia and Acne: A Case-Control Study. Cureus. 2023;15:e39109. doi:10.7759/cureus.39109
Bahbouhi I, Aboudourib M, Hocar O, Amal S. Vitamin B12 induced acneiform eruption. Heliyon. 2023;9:e16120. doi:10.1016/j.heliyon.2023.e16120
Veraldi S, Benardon S, Diani M, Barbareschi M. Acneiform eruptions caused by vitamin B12: A report of five cases and review of the literature. J Cosmet Dermatol. 2018;17:112. doi:10.1111/jocd.12360
Lolatgis H, Su J, Nguyen R. Successful re-introduction of vitamin B12 after using isotretinoin to treat severe acne medicamentosa. Australas J Dermatol. 2016;57:320. doi:10.1111/ajd.12458
Johnson T, Kang D, Barnard E, Li H. Strain-Level Differences in Porphyrin Production and Regulation in Propionibacterium acnes Elucidate Disease Associations. mSphere. 2016;1. doi:10.1128/mSphere.00023-15
Kang D, Shi B, Erfe MC, Craft N, Li H. Vitamin B12 modulates the transcriptome of the skin microbiota in acne pathogenesis. Sci Transl Med. 2015;7:293ra103. doi:10.1126/scitranslmed.aab2009
Gökalp H, Bulur I, Gürer M. Decreased vitamin B12 and folic Acid concentrations in acne patients after isotretinoin therapy: a controlled study. Indian J Dermatol. 2014;59:630. doi:10.4103/0019-5154.143533