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Cyanocobalamin vs vitamin B12: what’s the difference?

jodi-johnson

Written byJodi M Johnson

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Cyanocobalamin might sound like a chemistry lesson, but it’s simply a form of vitamin B12 that helps keep your body energised and supported – our nutritionist is here to help you make sense of it all

Summary

1What is cyanocobalamin?

Cyanocobalamin is a man-made form of vitamin B12. It’s commonly used in supplements, fortified foods and some prescribed treatments.

2B12 vs cyanocobalamin: what’s the difference?

Cyanocobalamin is a synthetic form of vitamin B12, alongside methylcobalamin, hydroxocobalamin and adenosylcobalamin.

3How much cyanocobalamin should you take?

The amount of cyanocobalamin you need depends on your age, diet and individual health needs.

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If you’ve been looking into vitamin B12 supplements, chances are you’ve come across the word cyanocobalamin. It might sound complicated, but it’s simply one of the most common forms of vitamin B12 used in supplements and fortified foods.

Vitamin B12 plays an important role in keeping your body working properly, from supporting energy-yielding metabolism to helping your nervous system function normally. And while many people get enough through their diet, some may need extra support through supplements such as cyanocobalamin tablets. With the help of our Nutritionist, Olivia Rosenvinge, we’ve explained what cyanocobalamin is, how it differs from vitamin B12 in foods, who may benefit from it and what you need to know before taking it.

What is cyanocobalamin?

Cyanocobalamin is a man-made form of vitamin B12.1 It’s commonly used in supplements, fortified foods and some prescribed treatments for low vitamin B12 levels. Once absorbed by the body, cyanocobalamin is converted into active forms of vitamin B12 that your body can use.1

“B12 is the name for a group of compounds… cyanocobalamin is a synthetic version of vitamin B12”

“Vitamin B12 helps your body release energy for the food you eat and supports psychological function and the formation of healthy red blood cells, yet low levels can often go unnoticed at first,” says Olivia. “Cyanocobalamin is a widely used synthetic version of vitamin B12 that can help maintain adequate levels when dietary intake or absorption is reduced.”

You’ll often find cyanocobalamin in:

What’s the difference between B12 and cyanocobalamin?

Vitamin B12 is the name for a group of compounds that help support important functions in the body. Cyanocobalamin is the synthetic version of vitamin B12. Other forms of B12 include methylcobalamin,2 hydroxocobalamin 2 and adenosylcobalamin.2

All forms provide vitamin B12, although they differ slightly in their chemical structure and how they are processed within the body. Cyanocobalamin is popular because it’s stable, effective and commonly available in supplements and prescriptions. For most people, it can help maintain healthy vitamin B12 levels when taken as advised.

Why is vitamin B12 important?

Vitamin B12 supports several important functions in the body. Approved health claims for vitamin B12 include supporting normal:
Vitamin B12 also plays a role in cell division and homocysteine metabolism 4 (the process your body uses to break down methionine, an amino acid from food, into other useful substances).5 The body can’t make vitamin B12 itself, so we need to get it through food and, in some cases, supplements. Good food sources of vitamin B12 include:6
Egg on a blue plate
  • meat
  • fish
  • eggs
  • milk and dairy products
  • fortified plant-based foods

Who may need cyanocobalamin?

“For many people, including older adults, those following plant-based diets and people with absorption difficulties, cyanocobalamin can be a practical way to maintain adequate vitamin B12 levels,” says Olivia. You may need support from supplementation if you’re:
  • vegan or vegetarian3
  • an older adult3
  • following restrictive diets3
  • you’ve got a certain digestive condition that affects nutrient absorption3
  • taking medications that may affect B12 absorption3
If you think you may have low vitamin B12 levels, it’s important to speak to a GP or healthcare professional. Vitamin B12 deficiency should always be properly diagnosed and managed by a medical professional.

What causes low vitamin B12?

Low vitamin B12 can happen for several reasons. Common causes include:6,7
  • not getting enough B12 through the diet
  • reduced absorption in the stomach or intestines
  • certain digestive conditions
  • some medications
  • age-related changes affecting absorption

“In the UK, adults aged 19-64 need around 1.5 micrograms of vitamin B12 a day”

“Symptoms of low vitamin B12 can develop gradually and are often mistaken for everyday fatigue or stress,” says Olivia. “Rather than self-diagnosing, it’s best to speak to a healthcare professional if you’re concerned about your symptoms or risk factors.”

How much cyanocobalamin should you take?

The amount of cyanocobalamin you need depends on your age, diet and individual health needs. In the UK, the recommended nutrient intake (RNI) for adults aged 19–64 is around 1.5 micrograms of vitamin B12 per day.8 Many supplements contain higher amounts because vitamin B12 isn’t always fully absorbed by the body. Always follow the dosage instructions on the product packaging or advice from your healthcare professional. If you’ve been prescribed cyanocobalamin tablets or injections, follow your prescription exactly.

Are there side effects of cyanocobalamin?

“Cyanocobalamin is generally considered safe and well tolerated when taken as directed, with most people experiencing few or no side effects,” says Olivia. “As vitamin B12 is water-soluble, excess amounts are typically excreted through urine rather than stored by the body.”9

Serious side effects are rare. If you experience anything unexpected after taking cyanocobalamin, or you have concerns about taking supplements alongside medication or a health condition, speak to your GP or pharmacist.

Cyanocobalamin FAQs

Is cyanocobalamin good or bad for you?

Cyanocobalamin is considered a safe and effective form of vitamin B12 for most people. It can help support healthy vitamin B12 levels when dietary intake is low or supplementation is recommended.
 

Cyanocobalamin tablets vs injections: what’s the difference?

“Treatment can vary depending on the underlying cause of the deficiency. While some people may require injections, others may be able to manage their levels effectively with oral supplements,” says Olivia. The most suitable option depends on the cause of the deficiency and individual medical advice from your doctor.
 

What should you avoid when taking cyanocobalamin?

It’s important not to exceed the recommended dose unless advised by a healthcare professional. Some medications can affect vitamin B12 absorption, so speak to your GP or pharmacist if you take regular medication or have an underlying health condition.
 

What do you crave when your B12 is low?

There’s no specific food craving linked directly to low vitamin B12. However, low levels can sometimes leave people feeling tired or lacking energy,10 which may affect appetite or eating habits.
 

The final say

Cyanocobalamin is a widely used form of vitamin B12 that can help support healthy vitamin B12 levels when supplementation is needed. While many people can get enough through their diet, some may benefit from additional support through supplements or a prescribed dose.

Disclaimer – This article provides informational advice and is not a substitute for medical care. Working with experts for accuracy, we take great care to ensure the information is up-to-date and relevant. However, you should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision.

Sources

1. NHS website. About cyanocobalamin [Internet]. nhs.uk. 2024. Available from: https://www.nhs.uk/medicines/cyanocobalamin/about-cyanocobalamin/
2. Paul C, Brady DM. Comparative Bioavailability and Utilization of Particular Forms of B12 Supplements With Potential to Mitigate B12-related Genetic Polymorphisms. Integrative Medicine: A Clinician’s Journal [Internet]. 2017 Feb;16(1):42. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5312744/
3. National Institutes of Health. Office of Dietary Supplements - Vitamin B12 [Internet]. Nih.gov. National Institutes of Health; 2024. Available from: https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/
4. Ulloque-Badaracco JR, Hernández-Bustamante EA, Alarcón-Braga EA, Al‐kassab‐Córdova A, Juan Carlos Cabrera-Guzmán, Herrera‐Añazco P, et al. Vitamin B12, folate, and homocysteine in metabolic syndrome: a systematic review and meta-analysis. Frontiers in Endocrinology. 2023 Sep 13;14.
5. Selhub J. HOMOCYSTEINE METABOLISM. Annual Review of Nutrition. 1999 Jul;19(1):217–46.
6. NHS . Causes - Vitamin B12 or folate deficiency anaemia [Internet]. NHS. 2023. Available from: https://www.nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/causes/
7. Ankar A, Kumar A. Vitamin B12 Deficiency [Internet]. National Library of Medicine. StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441923/
8. NHS. B Vitamins and Folic Acid - Vitamins and Minerals [Internet]. NHS. 2020. Available from: https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/
9. Fukuwatari T, Sugimoto E, Tsuji T, Hirose J, Fukui T, Shibata K. Urinary excretion of vitamin B12 depends on urine volume in Japanese female university students and elderly. Nutrition Research. 2009 Dec;29(12):839–45.
10. NHS. Vitamin B12 or Folate Deficiency Anaemia Symptoms and Treatments [Internet]. www.nhsinform.scot. 2023. Available from: https://www.nhsinform.scot/illnesses-and-conditions/nutritional/vitamin-b12-or-folate-deficiency-anaemia/
 
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