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Vitamin B12: how much to take

B12 is needed for red blood cells and nerves. It comes almost only from animal foods, so vegans, vegetarians and many people over 50 rely on supplements or fortified food.

Calculator Official intake Study doses Best form Works with Safety Sources

Adults 18+ only
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Official daily intake

EFSA (European Food Safety Authority)

AI (adequate intake)

Men4 µg
Women4 µg
Pregnancy4.5 µg
Breastfeeding5 µg

Safe upper limit: not set

No adverse effects defined, so no safe limit.

Source: EFSA 2017 · EFSA 2025

NIH / NASEM (United States)

RDA (recommended dietary allowance)

Men2.4 µg
Women2.4 µg
Pregnancy2.6 µg
Breastfeeding2.8 µg

Safe upper limit: not set

No safe limit set.

Over 50, NIH advises getting B12 mainly from fortified food or a supplement (absorption from food drops).

Source: National Academies (NASEM) 2019

Doses used in studies

These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.

Weak evidenceWeak: one small trial, pilot data or results that conflict.Based on 1 meta-analysis.How grades work

Treat a diagnosed deficiency by mouth instead of injections

1,000-2,000 µg a day

A Cochrane review found 1000 µg a day by mouth raised blood B12 about as well as injections; one trial used 2000 µg a day. Evidence quality was low (3 small trials).

Wang H et al. 2018

Best form and why

No clear winner

Cyanocobalamin (a good choice among equals)

Why: Cyanocobalamin is the most common form in supplements. No evidence shows that any form of B12 is absorbed better than another.

Alternatives: Methylcobalamin, adenosylcobalamin and hydroxocobalamin work too. Absorption falls at high doses (about 2% at 500 µg), which is why high-dose pills still work.

NIH Office of Dietary Supplements 2026

Works with

Helps or needs

  • Folate / Folic acidModerate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 official reference.How grades work

    Large amounts of folic acid can correct the anaemia of B12 deficiency but not the nerve damage, so a B12 problem can go unnoticed. If you take folic acid, make sure your B12 intake is adequate too.

    NIH Office of Dietary Supplements 2026

Forms and labels

  • Cyanocobalamin
  • Methylcobalamin

Food sources

Meat, fish, eggs, dairy, fortified plant milks and nutritional yeast.

Interactions

Metformin and acid-lowering drugs (PPIs) can lower B12 absorption. High folic acid can hide the anaemia of B12 deficiency.

Safety

No upper limit is set; only a small share of a large oral dose is absorbed.

Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.

Sources

  1. Official reference EFSA (2017). Dietary Reference Values for nutrients: Summary report. EFSA Supporting Publications
  2. Official reference EFSA (2025). Overview on Tolerable Upper Intake Levels as derived by the SCF and the EFSA NDA Panel (version 11, August 2025). EFSA
  3. Official reference National Academies (NASEM) (2019). Dietary Reference Intakes: RDA, AI and UL tables (via NIH ODS Nutrient Recommendations). Food and Nutrition Board
  4. Meta-analysis Wang H et al. (2018). Oral vitamin B12 versus intramuscular vitamin B12 for vitamin B12 deficiency. Cochrane Database Syst Rev CD004655
  5. Official reference NIH Office of Dietary Supplements (2026). Vitamin B12: fact sheet for health professionals (checked November 2026). NIH ODS
  6. Official reference NIH Office of Dietary Supplements (2026). Folate: fact sheet for health professionals (checked November 2026). NIH ODS

Values checked: November 12, 2026.

Fact sheets on other sites

Independent summaries to read alongside this page. PillMath is not affiliated with these sites.

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