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Vitamin B12_Dosage, benefits & legal status

Also known as B12, B-12, Methylcobalamin, Methylated B12, Methylcobalamin (B12), Cyanocobalamin, Cobalamin, Mitochondrial B12

Published September 24, 2026

The vitamin sold in peptide vials, at prices from $20 to $83 for the same thing.

Energy & agingVitamin (cobalamin)OTC / supplementNot a peptide
Common vial size10 mg
DosePrescription products are dosed by a clinician
FrequencyVaries by product and by why it is being given
RouteInto muscle or under the skin, or by mouth
StatusSupplement
CycledNo cycling

Common vial size is what vendors typically sell, not a recommendation. Enter your own vial in the calculator.

See how this dose compares across the library →

01

What is Vitamin B12?

Plain language first. The technical label stays, but it never stands alone.

Overview

An essential vitamin, needed for nerves and red blood cells. Injections are a real, approved treatment when someone is genuinely deficient.

The technical version

Cobalamin, an essential water-soluble vitamin required for methionine synthase and methylmalonyl-CoA mutase activity. Injectable cyanocobalamin is an approved prescription treatment for B12 deficiency, including deficiency from pernicious anaemia, coeliac disease, bariatric surgery or long-term metformin use.

What it's used for

Sold for energy, mood and metabolic support. Injections correct a genuine deficiency; in people who are not deficient, the evidence for an energy effect is thin.

02

How does Vitamin B12 work?

What it does in the body, and where.

B12 is the most ordinary thing in this catalogue, which is what makes its presence here interesting.

  1. 01
    The body cannot make it
    It comes from food or supplements, and absorption depends on intrinsic factor in the stomach, which is why gut surgery and pernicious anaemia cause deficiency.
  2. 02
    Deficiency is a real diagnosis with a real treatment
    Injections bypass the absorption problem, which is why they are an approved prescription treatment.
  3. 03
    The energy claim rests on that
    Correcting deficiency restores energy. Giving more to someone who is replete mostly produces expensive urine.
03

What else is it used for?

Each use below carries its own evidence level. Approved means regulators have cleared it for that purpose. Investigational means it is in trials. Early research means it is being studied and is not established.

  • Correcting a diagnosed B12 deficiencyFDA-approved
  • Energy and fatigue in people who are not deficientEarly research
  • Mood and cognitionEarly research
  • Weight loss, as the B12 in lipotropic blendsResearch only
Vitamin B12 vial rendering
Compound field notes

At a glance

Four things to know about Vitamin B12

01

Evidence

OTC / supplement

02

Category

Longevity and energy

03

Common vial

10 mg

04

Half-life

Stored in the liver for years

04

How much, and do you cycle it?

The range, and whether you take breaks.

Prescription products are dosed by a clinician, varies by product and by why it is being given. No cyclingNo range

A vitamin replaced to correct a deficiency is not cycled.

Compare this against the whole library →

05

How long does it stay in the body?

The half-life, and where the figure comes from.

Stored in the liver for yearsclinical-guideline

Unlike most of this catalogue, B12 is stored. Liver stores can cover years of intake, which is why deficiency develops slowly.

You can compare this against the whole library to see where it sits.

06

How do I dose and price it?

Enter your vial and your dose. Pick a mix. We show the draw and the cost.

The vial holds a fixed amount of drug. Adding more water does not make more drug, it just spreads it thinner, so you draw a bigger number on the syringe for the same dose.

Your vial size (mg)
Printed on the vial.
What you paid per vial
$
Used for cost per dose only.
Your dose (mg)
Commonly referenced range: Prescription products are dosed by a clinicianNo range

Choose your mix

your own mL
units · —
Enter your own volume

Measuring the water1 mL = one full 100-unit syringe.

Your draw

0 / 100 units
What it costs

Vitamin B12 starts at $19.99 across 16 vendors, typically $5.50 – $7.15 per mg.

20 listings, last read Sep 22, 2026. Shipping and card fees are not included.

See all 20 listings →
07

How do you store it?

Before mixing, and after.

Dry powder in the freezer or fridge. Once mixed, fridge, and use within about a month.

Unmixed lyophilized Vitamin B12 keeps for a long time cold. Once you add water the clock starts: most reconstituted vials hold up for roughly 28 to 30 days at fridge temperature. Keep it out of light, and do not freeze it after mixing.

08

What are the side effects and cautions?

Known cautions and warnings for this compound.
Handling note

Vendor labels mix units: some give a total in milligrams, some a concentration such as 1 mg/ml or 2,500 mcg/ml. Two vials both described as 10 mg are not necessarily the same amount of B12.

Who should avoid it

Check these before anything else.
  • Known cobalt or cobalamin allergy
  • Leber's hereditary optic neuropathy, where cyanocobalamin is avoided
  • Pregnancy, where a clinician should set any dose

Stop and get help

These are emergencies. Seek care.
  • Signs of an allergic reaction such as face or throat swelling, hives, or trouble breathing
  • Any change in vision

Common effects

Expected, and usually mild.
  • Injection-site soreness
  • Usually nothing else

Where this page says nothing is established, that means nobody has studied it, not that a compound is safe.

09

Is Vitamin B12 approved?

And where the numbers on this page come from.

Not as a medicine. Vitamin B12 is sold without a prescription as a supplement or cosmetic ingredient, which is a different thing from being approved as a drug.

  • Injected into muscle and Injected under the skin
    FDA-approvedApproved as a prescription injectionCyanocobalamin injection is an FDA-approved prescription product for B12 deficiency. A research-labelled vial bought online is not that product, whatever it contains.
  • By mouth
    OTC / supplementSold as a supplementOral B12 is a dietary supplement, sold everywhere without a prescription.
  • Route
    Into muscle or under the skin, or by mouth
  • Checked
    24 September 2026
  • Approved outside the US
    This does not change the United States position above.
  • Dose
    From product labeling and published use.
  • Vial size
    From what vendors typically list; not a recommendation.
  • Sources

What has happened recently

Oral B12 is a supplement. Injectable cyanocobalamin is an approved prescription product, and a research-labelled vial sold online is not that product.

10

What else is like Vitamin B12?

Others in Longevity and energy, side by side.

If you're weighing Vitamin B12, it's worth reading MOTS-c, Epitalon, and NAD+ in the same class.

Guides for this compound

Sources

Last reviewed 24 September 2026