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Cyanide in Your B12 Supplement? Likely, Yes.

Sunday, January 28th 2024 10:00am 3 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

The presence of cyanide in numerous vitamin B12 supplements is a subject of concern and curiosity. What implications does its use have for health and safety?

Many consumers trust that vitamin manufacturers prioritize their wellbeing. Strolling through drugstore aisles, one encounters countless products labeled as “natural” in the vitamin section, rarely questioning their contents. However, a deeper investigation into this area reveals a more troubling aspect of the industry, particularly concerning companies under the umbrella of major pharmaceutical corporations like Bayer.

The critical detail about the form of B12 used in most mainstream vitamins is cyanocobalamin. This article is dedicated to exploring this contentious subject. The views presented here might clash with those of some natural health experts, but it’s vital to have a dialogue about these controversial topics. The information and perspectives offered here aim to provide a balanced and cautious approach to the issue.

Cyanocobalamin: The Predominant Form of B12 in Supplements

Many consumers are unaware that a synthetic additive called cyanocobalamin, which contains cyanide, is commonly found in various vitamins and foods. This form of cyanide, bound organically to cobalamin (vitamin B12), is generally low-risk, provided the individual’s body can efficiently detoxify cyanide and hasn’t been overly exposed to environmental cyanide and similar compounds. However, genetic variations can affect a person’s ability to remove cyanide from cobalamin. Defects in a protein known as MMACHC are a major cause of inherited B12 metabolism disorders. People with these dysfunctions should opt for cyanide-free B12 forms like aquacobalamin, hydroxocobalamin, or methylcobalamin.

Cyanocobalamin is widely used because it is inexpensive (often derived from treated sewage sludge or animal tissue) and stable. Despite its prevalence, it is not the ideal form of B12, as the body must first remove the cyanide component for it to fulfill its essential biological roles. While cyanide-bound B12 has been researched for its potential benefits, and vitamin B deficiency can be severely detrimental to health, it is not without risks and is considered inferior to cyanide-free forms.

The Health Debate Surrounding Cyanocobalamin

When treating cyanide poisoning, such as from smoke inhalation, emergency rooms use hydroxocobalamin, a cyanide-free B12 form that binds with cyanide to form less harmful cyanocobalamin. People with higher cyanide exposure or body burden, like smokers or those consuming significant amounts of cassava, may struggle to detoxify additional cyanide from their diet or supplements, making even low levels in some vitamins and foods problematic.

The potential toxicity of cyanocobalamin has been a topic of discussion for decades. Reports as early as 1992 called for its removal from vitamin therapy, particularly for smokers with neuropathy. A 1997 study found that cyanocobalamin could counteract vitamin B12 and induce cell death due to methionine deficiency.

Cyanide in its non-vitamin form is notoriously toxic. For example, a relatively small dose can be lethal to rats. Cyanocobalamin has a much higher safety margin, yet it’s recognized as a hazardous air pollutant by the government’s Toxnet database. The Clean Air Act requires the EPA to set strict emission standards for toxic pollutants, including cyanocobalamin.

Recent studies have compared the effects of cyanocobalamin and methylcobalamin on inflammatory bowel disease, suggesting that cyanide-based forms might exacerbate symptoms by altering the gut microbiota.

Alternative Sources of B12

Another approach to maintaining adequate B12 levels involves increasing populations of natural B12-producing bacteria like Lactobacillus reuteri. Research indicates that dietary B12 sources are superior to cyanocobalamin supplements. Notable dietary sources include white button mushrooms, spirulina, and chlorella. The best supplemental form is methylcobalamin, which, despite being more costly, is effective for sublingual absorption and immediately usable as a methyl donor. Additionally, proton pump inhibitors and microwaving food can hinder B12 absorption.

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