Evidence

These uses have been tested in humans or animals.  Safety and effectiveness have not always been proven.  Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Key to grades

A
Strong scientific evidence for this use
B
Good scientific evidence for this use
C
Unclear scientific evidence for this use
D
Fair scientific evidence against this use (it may not work)
F
Strong scientific evidence against this use (it likely does not work)

Grading rationale

Evidence gradeCondition to which grade level applies
A

Megaloblastic anemia (due to vitamin B12 deficiency)

Low levels of vitamin B12 are a cause of megaloblastic anemia, in which red blood cells are larger than normal. Other possible causes include folate deficiency or various metabolic disorders. Anemia should be diagnosed by a physician to address the underlying cause.
A

Vitamin B12 deficiency

Studies have shown that a deficiency of vitamin B12 can lead to abnormal mental symptoms. These symptoms may include ataxia (shaky movements and unsteady gait), muscle weakness, spasticity (stiff or rigid muscles), incontinence (lack of bladder and/or bowel control), hypotension (low blood pressure), vision problems, dementia, psychoses (abnormal condition of the mind), and mood disturbances. Giving vitamin B12 by mouth, by injection, or by nasal inhalation is effective for preventing and treating dietary vitamin B12 deficiency.
C

Alzheimer's disease

Some people diagnosed with Alzheimer's disease have been found to have abnormally low vitamin B12 levels in their blood. The effects of vitamin B12 supplementation on the prevention or progression of Alzheimer's disease remain unclear. More studies are needed before a conclusion can be made.
C

Angioplasty (opening narrowed/blocked arteries)

Some evidence suggests that giving prescription-strength folic acid and vitamins B12 and B6 for six months following coronary angioplasty reduced the risk of overall adverse cardiac events; however, other studies have found this combination to increase restenosis (reoccurrence of narrowing of a blood vessel). Further research is needed before a conclusion can be made.
C

Breast cancer

Researchers have reported that women with breast cancer tend to have lower vitamin B12 levels in their blood serum than do women without breast cancer. However, one study found that giving a combination of folic acid, vitamin B6, and vitamin B12 failed to decrease the risk of breast cancer. Further research is needed before conclusions can be made.
C

Canker sores

Vitamin B12 and vitamin B12 injections combined with hydrocortisone were studied to treat recurrent canker sores; although treatment with sublingual vitamin B12 may have some benefit, further research is needed before a conclusion can be made.
C

Cardiovascular disease/hyperhomocysteinemia

High homocysteine levels in the blood have been suggested as being a risk factor for cardiovascular disease, blood clotting abnormalities, atherosclerosis (hardening of arteries), heart attack, and stroke (due to a blood clot). Taking vitamin B12 supplements in combination with other B vitamins (mainly folic acid) has been shown to be effective for lowering homocysteine levels. It is unclear whether lowering homocysteine levels has an effect on cardiovascular disease risk and death. More evidence is needed.
C

Cervical cancer

Some evidence suggests that vitamin B12 supplementation may have a role in preventing cervical cancer. Further research is warranted in this area.
C

Claudication (leg pain from clogged arteries)

Human research evaluated the effects of vitamin B12 and results demonstrated that although walking distance was improved, sufficient high quality evidence was lacking. Further research is needed before a conclusion can be made.
C

Depression

A combination of folic acid, vitamin B12, and vitamin B6 lacked any difference in symptoms of depression in older men as compared to placebo. Well-designed clinical trials are needed to confirm any potential benefit.
C

Diabetic neuropathy (nerve damage)

Some evidence suggests that supplementation with vitamin B12 may be helpful in people with diabetic neuropathy. More research is needed in this area.
C

Diagnostic procedure

In order to detect the presence of vitamin B12, lab tests to measure plasma and serum vitamin B12 may be used; however, many investigators believe testing is unreliable. Research has reported that diagnosis of vitamin deficiencies cannot be made by evaluating vitamin B12 levels alone.
C

Facial spasm

Research has reported that vitamin B12 lacked any benefit over acupuncture in treatment of facial spasm. Further research is needed before a conclusion can be made.
C

Fatigue

There is some evidence that vitamin B12 injections given twice weekly may improve the general well-being and happiness of people complaining of tiredness or fatigue. Further studies are needed before a conclusion can be made.
C

Fractures (prevention)

Some evidence suggests that a combination of vitamins including vitamin B12 may help prevent fractures. More research is needed.
C

High cholesterol

Some evidence suggests that vitamin B12 in combination with fish oil may be better than fish oil alone when used daily to reduce cholesterol and triglyceride levels. More studies are needed before a conclusion can be made.
C

Imerslund-Grasbeck disease

Vitamin B12 injections may be effective for treating a hereditary form of vitamin B12 malabsorption (Imerslund-Grasbeck disease). Further research is needed to confirm these results.
C

Joint pain (elbow)

Preliminary research suggests that vitamin B12 may be effective for elbow pain, but evidence is lacking. Further research is needed.
C

Mental performance

Increased homocysteine levels have been associated with lower mental testing scores. However, there was a lack of association between low vitamin B12 blood levels and mental decline, Alzheimer's disease, or dementia. More research is needed before a conclusion can be made.
C

Poisoning (cyanide)

Hydroxocobalamin (a chemical form of vitamin B12) has been approved by the United States Food and Drug Administration (FDA) since 2006 as a potential antidote for treatment in people with suspected smoke inhalation cyanide toxicity, and although research is lacking on the use of hydroxocobalamin in pregnant women, it did gain FDA approval in pregnant women in 2010. In addition, according to the Australian Resuscitation Council, serious adverse effects with hydroxocobalamin were lacking, and many people with fatal cyanide poisoning had survived.
C

Shaky-leg syndrome

Clinical reports show that shaky-leg syndrome may be due to vitamin B12 deficiency. Further research is needed to confirm these results.
C

Sickle cell disease

Early study suggests that a daily combination including folic acid, vitamin B12, and vitamin B6 may reduce endothelial (cells lining vascular walls) damage in people with sickle cell disease. Further research is needed to confirm these results.
C

Sleep disorders (circadian rhythm)

Taking vitamin B12 by mouth lacked any effectiveness for treating delayed sleep phase syndrome. Giving vitamin B12 with bright light therapy may be helpful for adolescents with circadian rhythm sleep disorders. More research is needed in this area.
D

Lung cancer

One study found an increase in lung cancer in people with heart disease in Norway whom were taking vitamin B12 and folic acid. More research is needed to better understand this relationship.
D

Stroke

In people with a history of stroke, neither high-dose nor low-dose vitamin B12 combinations containing vitamin B6, vitamin B12, and folic acid seem to affect risk of recurring stroke.

Uses based on tradition or theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Aging, AIDS, allergies, amyotrophic lateral sclerosis, asthma, autism, bleeding, blood clots, chemotherapy side effects, chronic fatigue syndrome, diabetes, energy level enhancement, growth disorders (failure to thrive), immunosuppression (decrease in immune function), improving concentration, inflammatory bowel disease, kidney disease, Leber's disease, liver disease, male infertility, malignant tumors, memory loss, mood (elevate), mouth and throat inflammation (atrophic glossitis), mental disorders, movement disorders (tremor), multiple sclerosis, myoclonic disorders (spinal myoclonus), neural tube defects, periodontal disease (dental and mouth disorders), prevention of pregnancy complications, protection from tobacco smoke, ringing in the ears (tinnitus), skin disorders (seborrheic dermatitis), skin pigmentation disorders (vitiligo), seizure disorders (West syndrome), tennis elbow (tendonitis), thyroid disorders (increased thyroid hormone).

This evidence-based monograph was prepared by The Natural Standard Research Collaboration

www.naturalstandard.com