People age sixty-five or older or adults of any age on metformin:
- Daily: Take a supplement providing 100–1,000 mcg vitamin B12. (Monitor your status; your physician will adjust accordingly.)
Adults under age sixty-five choose one of the following:
- Daily: Take a supplement providing 25–100 mcg vitamin B12.
- Two to three times a week: Take a supplement providing 1,000 mcg vitamin B12.
- Daily: Consume at least three servings of foods fortified with vitamin B12 that provide at least 2 mcg vitamin B12 per serving. The Daily Value (DV) for vitamin B12 used on food labels is 6 mcg, so if a food provides 33 percent of the DV, it provides 2 mcg.