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Lancet 1998;352(9142):17212

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A report from the Framingham Offspring Study of 2,999 adults found the following average daily B12 intakes, including fortified foods and supplements (Tucker, 2000): Age 26-49: 8.9 g Age 50-64: 8.7 g Age 65-83: 8.5 g A 2015-2016 National Health and Nutrition Examination Survey of over 4,500 adults 60 years and older found the following average daily B12 intakes (USDA NHANES, 2019): Male non-supplement users (68% of men): 4.5 g Male supplement users: 5.3 g from food plus 326 g from supplements Female non-supplement users (63% of women): 3.6 g Female supplement users: 3.8 g from food plus 520 g from supplements European Food Safety Authoritys Recommendations In 2015, the EFSA released recommendations for B12 intake across Europe

Ingestion of large amounts of vitamins can result in upset stomach, and in certain circumstances and conditions, this absorption can be severely limited resulting in deficiencies that can upset the delicate balance of the body

Mayo Clinic - Vitamin B12 deficiency anemia National Institutes of Health (NIH) - Vitamin B12 Fact Sheet for Health Professionals Harvard Health Publishing - Vitamin B12 deficiency: What to know NHS (National Health Service) - Vitamin B12 or folate deficiency anemia American Academy of Family Physicians - Diagnosis and Treatment of Vitamin B12 Deficiency