Vitamin B12 (Cyanocobalamin/Methylcobalamin)
Vitamin B12 is an essential water-soluble vitamin that maintains healthy nerve cells, supports red blood cell formation, and aids in DNA synthesis. It plays a crucial role in brain function, energy metabolism, and preventing megaloblastic anemia. This vitamin is particularly important for neurological health and cognitive function as we age.
Typical Dosage
2.4 mcg daily (RDA) for maintenance; 500-1000 mcg daily for correcting deficiency; up to 2000 mcg for seniors with absorption issues
When to Take
Can be taken with or without food; morning preferred to avoid potential sleep interference; sublingual forms may be held under tongue for 30 seconds
Why for 50+
Adults over 50 have significantly reduced stomach acid production, which impairs the body's ability to extract B12 from food sources. Additionally, the prevalence of B12 deficiency increases dramatically with age, affecting 10-15% of adults over 60. Many seniors take medications like proton pump inhibitors or metformin that further reduce B12 absorption, making supplementation particularly important for maintaining cognitive function and preventing neuropathy.
Recommended by
Potential Interactions
- Metformin (diabetes medication) - can reduce B12 absorption with long-term use
- Proton pump inhibitors (omeprazole, lansoprazole) - reduce stomach acid needed for B12 absorption
- H2 receptor antagonists (ranitidine, famotidine) - may decrease B12 absorption
- Colchicine (gout medication) - can impair B12 absorption
- Chloramphenicol (antibiotic) - may reduce effectiveness of B12 supplementation
