In addition to treating a B-12 deficiency or maintaining healthy B-12 levels, supplementing daily with vitamin B-12 (100 mcg to 500 mcg) and, possibly, folic acid (400 mcg), may help slow age-related declines in memory and cognition if you're not already getting enough vitamin B-12 from your diet or not able to extract it from foods a common problem in older people (Ueno, Nutrients 2022
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When deficiency is confirmed, replacement can support blood count recovery and may help prevent worsening nerve problems related to low B12