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If youre relying on getting all your B12 from fortified foods, make sure you get at least one serving at each meal containing at least 190% of the Daily Value listed on the nutrition facts label (based on the new labeling mandated to start January 1, 2020the target is 4.5 mcg three times a day)

However, more RCTs of vitamin B 12 supplementation and analysis of various markers (eg, total B 12 , holotranscobalamin, total Hcy and MMA, total folic acid, and if possible, polymorphism and/or methylation of genes) are needed to precisely identify the status of this micronutrient (before and after) in people with or without COVID-19 and thus facilitate the proper choice of vitamin B 12 form to be administered in treatment

It typically takes one to four weeks for vitamin injections to take effect, depending on the type of injection and your individual needs

Effective when absorption is the issue

Nat Commun 16 , 5797 (2025)