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Vitamin B Complex: Benefits, Deficiency, Dosage and Side Effects

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Vitamin B complex supplements contain several or all of the eight B vitamins. These nutrients help the body use energy from food and support the nervous system, blood cell production and other essential functions.

Most people can get enough B vitamins by eating a varied diet. But a supplement may be useful when a person has a diagnosed deficiency, follows a diet that limits certain foods or has a health condition that affects nutrient absorption.

Taking more than the body needs does not necessarily improve energy, mood or overall health. Some B vitamins can cause side effects when taken in high doses.

What is Vitamin B Complex?

The eight B vitamins are:

  • Thiamin, or vitamin B1.
  • Riboflavin, or vitamin B2.
  • Niacin, or vitamin B3.
  • Pantothenic acid, or vitamin B5.
  • Vitamin B6.
  • Biotin, or vitamin B7.
  • Folate, or vitamin B9.
  • Vitamin B12.

Although the vitamins are grouped together, each one has a different role. Many are involved in metabolism, which is the process the body uses to convert food into energy. Some also help make red blood cells, support nerve function or contribute to cell growth.

B vitamins are water-soluble. This means the body generally does not store large amounts of them. Vitamin B12 is an important exception because the body can store it for years.

Is Vitamin B Complex Good for You?

B vitamins are essential for health. But whether a B-complex supplement is beneficial depends on a person's diet, medical history and nutrient levels.

A supplement is most likely to help when it corrects a deficiency. There is no good evidence that vitamin B12 supplements increase energy or athletic performance in people who already have enough vitamin B12.

A balanced eating pattern usually provides enough B vitamins for healthy adults. Supplements should not replace nutritious foods or treatment for a medical condition.

What Does Vitamin B Complex do for the Body?

Together, the B vitamins contribute to several body functions, including:

  • Converting carbohydrates, fats and proteins into usable energy.
  • Supporting brain and nerve function.
  • Helping make DNA and new cells.
  • Forming healthy red blood cells.
  • Supporting immune function.
  • Helping maintain healthy skin and tissues.

Vitamin B12 is needed for healthy nerve cells, red blood cells and DNA. Folate also supports red blood cell formation and healthy cell growth.

Vitamin B6 helps support the nervous system and immune system.

Where are B Vitamins Found?

B vitamins occur in many foods. Sources include:

  • Fish, poultry, meat and eggs.
  • Milk, yogurt and cheese.
  • Beans, peas and lentils.
  • Leafy green vegetables.
  • Potatoes and other starchy vegetables.
  • Nuts and seeds.
  • Whole or enriched grains.
  • Fortified breakfast cereals.

Vitamin B12 occurs naturally mainly in animal-derived foods. People who eat a vegan diet may need fortified foods or a supplement to meet their needs.

Folate is found in leafy green vegetables, beans, peas, nuts and some fruits. Folic acid, the manufactured form of folate, is added to many enriched grain products and is commonly included in prenatal vitamins.

Who May be at Risk of a B-vitamin Deficiency?

The risk depends on the specific vitamin. People more likely to develop low vitamin B12 levels include:

  • Older adults.
  • People following vegan or some vegetarian diets.
  • People who have had stomach or intestinal surgery.
  • People with Crohn's disease, celiac disease or another condition that limits absorption.
  • People with pernicious anemia.
  • People who take certain medicines over a long period, including metformin or some acid-reducing medicines.

Reduced stomach acid and certain digestive conditions can make vitamin B12 harder to absorb.

Kidney disease, malabsorption disorders, alcohol dependence and certain medicines may increase the risk of vitamin B6 deficiency.

What are the Symptoms of Vitamin B Deficiency?

Symptoms differ depending on which vitamin is low. Possible signs include:

  • Ongoing tiredness.
  • Weakness.
  • Pale or yellowish skin.
  • Shortness of breath.
  • Dizziness.
  • Numbness or tingling in the hands or feet.
  • Difficulty with balance.
  • Changes in mood, memory or thinking.
  • A sore or swollen tongue.

Vitamin B12 or folate deficiency can interfere with red blood cell production and lead to vitamin deficiency anemia.

Symptoms do not confirm a deficiency. Fatigue, hair loss, constipation, mood changes and skin concerns can have many causes. A healthcare professional may use blood tests and other evaluations to identify the cause.

Can Vitamin B Deficiency Cause Hair Loss?

Some nutrient deficiencies can contribute to changes in the hair, but hair loss alone does not show that a person needs a B-complex supplement.

Biotin is often marketed for hair growth. True biotin deficiency is uncommon, and evidence that high-dose biotin improves hair growth in people without a deficiency is limited. High-dose biotin also can interfere with certain laboratory tests.

People with new, persistent or patchy hair loss should seek a medical evaluation rather than treating it with supplements alone.

Can Vitamin B Complex Cause Constipation?

Constipation is not considered a typical effect of most B vitamins. But combination supplements may contain iron, calcium or other ingredients that can affect bowel habits.

Some B-vitamin supplements may instead cause nausea, stomach cramps or loose stools. Be sure to check the product label to see what else the supplement contains.

Does Vitamin B Complex Help with Anxiety or Mood?

B vitamins are involved in brain function. Low levels of vitamin B12, folate or other nutrients may occur alongside mood symptoms.

But studies have not clearly shown that B-vitamin supplements treat anxiety or depression in people who do not have a deficiency. Supplements should not replace counseling, antidepressant medicine or other proven treatments.

How Much Vitamin B Complex Should You Take?

There is no single standard dose for “vitamin B complex.” Each B vitamin has its own recommended intake, and supplement products vary widely.

For example, the recommended daily amount of vitamin B12 for most adults is 2.4 micrograms. The recommended daily amount of folate for adults is 400 micrograms. Needs may be different during pregnancy, breastfeeding or treatment of a diagnosed deficiency.

A product that contains hundreds or thousands of percent of the Daily Value is not automatically more effective. Before using a high-dose product, ask a healthcare professional whether the dose is appropriate.

When is the Best Time to Take Vitamin B Complex?

A B-complex supplement generally can be taken at any time of day. Taking it with food may reduce nausea or stomach discomfort.

Some people prefer taking it in the morning because B vitamins are associated with energy metabolism. However, a supplement does not act as a stimulant, and there is no established time of day that works best for everyone.

Follow the product directions or the instructions provided by a healthcare professional.

Should Vitamin B Complex be Taken Every Day?

Daily use may be appropriate when a clinician recommends it or when the supplement is used to meet a predictable dietary need.

Not everyone needs a daily B-complex product. The appropriate schedule depends on:

  • Which vitamin is needed.
  • The dose in the product.
  • The reason for taking it.
  • Whether the person can absorb the vitamin.
  • Other medicines and supplements being used.

Are Vitamin B Complex Injections Safe?

Vitamin injections may be appropriate for certain diagnosed deficiencies. Vitamin B12 injections, for example, may be prescribed when a person has severe deficiency, pernicious anemia or difficulty absorbing vitamin B12.

Treatment also may be available as tablets, dissolving products, nasal preparations or other forms. The best option depends on the cause and severity of the deficiency.

Injections should be given only under appropriate medical guidance. Unnecessary injections can cause pain, bleeding, infection or allergic reactions and may provide no benefit to a person whose vitamin levels are adequate.

Can You Take Too Much Vitamin B Complex?

Yes. “Water-soluble” does not mean risk-free.

High doses of vitamin B6 taken over time may damage nerves. Large amounts of niacin can cause flushing and may affect the liver, blood glucose or blood pressure. High folic acid intake can make vitamin B12 deficiency harder to recognize while nerve damage continues.

Vitamin B12 is generally considered safe at recommended doses, but high-dose supplements may cause headache, nausea, diarrhea, weakness or tingling in some people.

When Should You See a Healthcare Professional?

Make an appointment when you have persistent fatigue, weakness, shortness of breath, numbness, tingling, balance problems or unexplained changes in memory or mood.

Seek medical advice before starting a high-dose supplement when you:

  • Are pregnant or breastfeeding.
  • Have kidney or liver disease.
  • Have had bariatric or intestinal surgery.
  • Follow a vegan diet.
  • Have a digestive disorder.
  • Take metformin, seizure medicines or acid-reducing medicines.
  • Are being evaluated for anemia or nerve symptoms.

Blood tests may be needed to check blood cells, vitamin B12, folate or other markers. Treatment should address both the deficiency and its underlying cause.

Frequently Asked Questions

Are vitamin B complex and vitamin B12 the same?

No. Vitamin B12 is one of eight B vitamins. A B-complex supplement usually contains several or all eight.

Is vitamin B complex water-soluble?

Yes. B vitamins are classified as water-soluble, although vitamin B12 can be stored in the body for a long time.

How long does vitamin B complex take to work?

That depends on the vitamin, the severity of the deficiency and the symptom being treated. Blood-related findings may improve before nerve symptoms. Some nerve damage caused by prolonged vitamin B12 deficiency may not be fully reversible.

Can vitamin B complex make urine bright yellow?

Yes. Riboflavin can make urine appear bright or fluorescent yellow. This is generally harmless.

Should vitamin B complex be taken with food?

It can be taken with food. Doing so may reduce nausea or stomach upset.

What happens when vitamin B12 is low?

Low vitamin B12 can cause fatigue, anemia, weakness, numbness, tingling, balance problems and changes in thinking or mood. Untreated deficiency may lead to lasting nerve damage.

*This article is intended for informational purposes only and should not be substituted for medical advice. For medical questions and advice, it is always best to consult with your trained physician.

Sources: 

Biotin - health professional fact sheet. (n.d.-d). https://ods.od.nih.gov/factsheets/Biotin-HealthProfessional/ 

Folate - Health Professional Fact Sheet. (n.d.-h). https://ods.od.nih.gov/factsheets/Folate-HealthProfessional/ 

Vitamin B12 - Health Professional Fact Sheet. (n.d.-k). https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/ 

Vitamin B6 - Health Professional Fact Sheet. (n.d.-k). https://ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/ 

Vitamin deficiency anemia-vitamin deficiency anemia - diagnosis & treatment - Mayo Clinic. (n.d.-o). https://www.mayoclinic.org/diseases-conditions/vitamin-deficiency-anemia/diagnosis-treatment/drc-20355031 

Vitamin deficiency anemia-vitamin deficiency anemia - symptoms & causes - Mayo Clinic. (n.d.-o). https://www.mayoclinic.org/diseases-conditions/vitamin-deficiency-anemia/symptoms-causes/syc-20355025 

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