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NutritionFacts.org Video Podcast

How Much Vitamin B12 Do We Need Each Day?

NutritionFacts.org Video Podcast

Michael Greger, M.D. FACLM

Alternative Health, Health & Fitness, Nutrition

4.8951 Ratings

🗓️ 24 November 2025

⏱️ 5 minutes

🧾️ Download transcript

Summary

How are the recommended daily and weekly doses of vitamin B12 derived?

Transcript

Click on a timestamp to play from that location

0:00.0

There are a couple ways to derive vitamin B12 recommendations.

0:10.0

One is called the factorial approach in which the average requirement of vitamin B12

0:15.0

is calculated as a replacement of daily losses adjusted for dietary bioavailability. So, for example, if people

0:23.0

lose an average of one microgram of B12 a day, and the bioavailability of tiny amounts

0:28.1

of B12 from food is assumed to be about 50 percent, if you've got two micrograms a day,

0:32.8

you'd absorb one microgram, 50 percent, and that would replace the one microgram you lose every day.

0:39.3

But that's just the average daily requirement based on average daily losses.

0:43.3

The average requirement would mean 50% of people actually need less and 50% need more.

0:49.3

You don't want to cover the needs of only half the population, though,

0:52.3

so you add two relative standard deviations to cover more like 98 only half the population, though. So you add two relative standard deviations

0:55.9

to cover more like 98 percent of the population, which just means you up the average requirement

1:00.4

by 20 or 40 percent. So if we add 20 percent to that two micrograms a day we came up with,

1:06.0

that comes out to 2.4, which is indeed exactly the RDA for B12 in the United States and other

1:12.5

countries are similar recommending 1.5 to 4 micrograms a day.

1:17.4

Another way to derive B12 recommendations is to see what dose maximizes B12 function within

1:23.3

the body.

1:24.9

B12 is used to metabolize MMA and homocysteine, and looks like there's additional benefit

1:29.8

up to an intake of six micrograms.

1:32.6

So instead of an RDA of 2.4, maybe we should tell people to get six, since that appears

1:37.6

to normalize all the vitamin B12-related variables.

1:40.8

A subsequent larger study, using the same principle, found the same kinds of curves

1:46.0

maximizing B12 functionality in the same range, suggesting again instead of 2.4, maybe we

...

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