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So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant

The key principle is identifying and managing any significant underlying pathology

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Methylcobalamin , a methylated form of Vitamin B12, can also be produced in a laboratory to aid in body function

Horm Res 40 : 6267 Mauras N (1995) Combined recombinant human growth hormone and recombinant human insulin-like growth factor I: lack of synergy on whole body protein anabolism in normally fed subjects

Older Adults : As people age, the ability to absorb B12 decreases, making older adults more susceptible to deficiency