Cyanocobalamin
What the research shows
No concerns
none of the findings here link it to harm
What research says
Studies in people
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Benefit
Low vitamin levels2
Vitamin B12 is needed for DNA and energy, and low levels are common in vegetarians and older people.
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Benefit
Oral treatment works4
In 26 people with pernicious anemia, oral cyanocobalamin corrected vitamin B12 deficiency in 88.5% within one month.
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Open question
Vitamin shots causing acne5
In healthy people given vitamin B12 shots, one of ten developed acne a week later.
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Open question
B12 supplement need7
Vegetarians may need cyanocobalamin supplements since plant foods rarely provide enough vitamin B12.
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Open question
B12 deficiency risk8
Vegan adults had lower vitamin B12 status than meat eaters, but vegans who took vitamin B12 supplements had better levels.
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Open question
Autism risk in children9
Vitamin B12 may be one risk factor for autism, but studies so far disagree, so more research is needed.
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Benefit
Teenage bone strength10
In teens aged 12 to 19, eating more vitamin B12 was linked to stronger bones, but more studies are needed.
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Benefit
B12 deficiency markers12
In older people, a doubling of vitamin B12 intake was linked to higher total B12 and HoloTC and lower MMA and tHcy.
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Open question
B vitamin deficiency trends13
Vitamin B12 deficiency stayed common in Brazilian adults, though taking B-complex supplements was linked to higher levels.
How it’s made and used
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Nutrient absorption at meals3
How much cyanocobalamin the body absorbs drops when you eat more of it in one meal.
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Low B12 from diet6
Low intake of animal foods can cause low vitamin B12, and strict vegetarians are at risk.
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Blood pressure and B12 levels11
In 1,398 rural Punjabi adults, low vitamin B12 was common and went with higher homocysteine, which was linked to high blood pressure.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least one finding in people. When most findings in people point one way, the page leans that way (“Mostly”), and every finding is still shown. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
Products
The 6 most-scanned of 5,171 products on Open Food Facts that list cyanocobalamin.
- Nutritional Yeast Flakes Engevita · 100 g 0 additives
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- Organic Unsweetened Almond Non-Dairy Beverage Vanilla Kirkland Signature · 946 ml 3 additives
- Soya Unsweetened plant based Lidl · 1000 ml 1 additive
- Vanilla Protein Shake Premier Protein · 11 ounces 7 additives
References
- 1Cyanocobalamin. Wikipedia. Accessed September 26, 2026. CC BY-SA 4.0.
- 2O'Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010;2(3):299-316. doi:10.3390/nu2030299
- 3Watanabe F. Vitamin B12 sources and bioavailability. Exp Biol Med (Maywood). 2007;232(10):1266-74. doi:10.3181/0703-MR-67
- 4Lacombe V, Vinatier E, Roquin G, et al. Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study. Am J Clin Nutr. 2024;120(1):217-224. doi:10.1016/j.ajcnut.2024.05.019
- 5Kang D, Shi B, Erfe MC, Craft N, Li H. Vitamin B12 modulates the transcriptome of the skin microbiota in acne pathogenesis. Sci Transl Med. 2015;7(293):293ra103. doi:10.1126/scitranslmed.aab2009
- 6Allen LH. Causes of vitamin B12 and folate deficiency. Food Nutr Bull. 2008;29(2 Suppl):S20-34; discussion S35-7. doi:10.1177/15648265080292S105
- 7Rizzo G, Laganà AS, Rapisarda AM, et al. Vitamin B12 among Vegetarians: Status, Assessment and Supplementation. Nutrients. 2016;8(12). doi:10.3390/nu8120767
- 8Niklewicz A, Hannibal L, Warren M, Ahmadi KR. A systematic review and meta-analysis of functional vitamin B12 status among adult vegans. Nutr Bull. 2024;49(4):463-479. doi:10.1111/nbu.12712
- 9Zwierz M, Suprunowicz M, Mrozek K, et al. Vitamin B12 and Autism Spectrum Disorder: A Review of Current Evidence. Nutrients. 2025;17(7). doi:10.3390/nu17071220
- 10Li K, Guo C, Yin Y, Chen X, Zheng M. Association between dietary vitamin B12 intake and bone mineral density in adolescents. Pediatr Res. 2026;99(1):150-158. doi:10.1038/s41390-025-04150-6
- 11Dahal S, Bhattacharjee D, Kaushik A, et al. Micronutrient Deficiencies and Association With Hypertension: The Role of Folate, Vitamin B12, and Homocysteine. Am J Hum Biol. 2025;37(9):e70143. doi:10.1002/ajhb.70143
- 12van Wijngaarden JP, Dhonukshe-Rutten RAM, Brouwer-Brolsma EM, et al. Vitamin B12 Intake and Related Biomarkers: Associations in a Dutch Elderly Population. J Nutr Health Aging. 2017;21(10):1268-1276. doi:10.1007/s12603-017-0911-6
- 13Palchetti CZ, Steluti J, Sales CH, Fisberg RM, Marchioni DML. Folate and vitamin B12 status: temporal evaluation after mandatory fortification in Brazil. Eur J Clin Nutr. 2022;76(9):1266-1272. doi:10.1038/s41430-022-01096-4