NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Supplement·Evidence index

Methylcobalamin and Vitamin B9: what the published research says

PubMed indexes 8 records that name Methylcobalamin and Vitamin B9 together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Methylcobalamin and Vitamin B9. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Methylcobalamin and Vitamin B9.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Efficacy of L-methylfolate and methylcobalamin in treating resistant hypertension associated with elevated serum homocysteine in hemodialysis patients.

BMC nephrology · 2026 · PMID 41580678

Clinical Trial, Phase IVRandomized Controlled Trial

“A three-month supplementation with a combination of 800 mcg methylfolate and 1000 mcg methylcobalamin showed promise in lowering blood pressure and serum homocysteine levels in ESRD patients with resistant hypertension. These findings require additional exploration in larger studies.”

Salem et al. · Authors' conclusion

Names both Methylcobalamin and Vitamin B9 in its title.

Effect of Methylfolate, Pyridoxal-5'-Phosphate, and Methylcobalamin (Soloways(TM)) Supplementation on Homocysteine and Low-Density Lipoprotein Cholesterol Levels in Patients with Methylenetetrahydrofolate Reductase, Methionine Synthase, and Methionine Synthase Reductase Polymorphisms: A Randomized Controlled Trial.

Nutrients · 2024 · PMID 38892484

Randomized Controlled Trial

“LDL-C levels decreased by 11.8% in homozygous carriers (95% CI: -15.8% to -7.8%, p < 0.01) and 4.8% in mixed allele carriers (95% CI: -6.8% to -2.8%, p < 0.01), with a significant between-group difference (7.0%, 95% CI: -13.0% to -1.0%, p < 0.01). Methylfolate, P5P, and methylcobalamin supplementation tailored to genetic profiles effectively reduced homocysteine and LDL-C levels in patients with specific MTHFR, MTR, and MTRR polymorphisms, particularly with homozygous minor…”

Pokushalov et al. · From the abstract

Names both Methylcobalamin and Vitamin B9 in its title.

Randomized controlled trial of the effect of short-term coadministration of methylcobalamin and folate on serum ADMA concentration in patients receiving long-term hemodialysis.

American journal of kidney diseases : the official journal of the National Kidney Foundation · 2010 · PMID 20430500

Randomized Controlled Trial20 participants

“Coadministration of intravenous methylcobalamin and oral folate in hemodialysis patients normalized hyperhomocysteinemia and decreased ADMA levels and arterial stiffness. We suggest that this regimen may have greater potential than folate alone to decrease cardiovascular risk in such patients.”

Koyama et al. · Authors' conclusion

Names both Methylcobalamin and Vitamin B9 in its title.

Randomized trial of methylcobalamin and folate effects on homocysteine in hemodialysis patients.

Nephron · 2002 · PMID 12021520

Clinical TrialRandomized Controlled Trial

“Oral FA (10 mg/day) supplementation appears to be an effective approach to normalize plasma tHcy in chronic HD patients; the addition of i.v. Me-Cbl (500 microg twice/week) to this regimen showed no benefit. Separately, FA corrected hyperhomocysteinemia (HtHcy), while Me-Cbl showed no change.”

Trimarchi et al. · Authors' conclusion

Names both Methylcobalamin and Vitamin B9 in its title.

Gender differences in methylcobalamin, folate, homocysteine, and hemoglobin levels among urban, community dwelling, elderly with mild cognitive impairment in a South Indian city: A cross-sectional study.

Journal of Alzheimer's disease : JAD · 2026 · PMID 41940848

Human subjects

“However, vitamin B12 and folate levels may not strongly influence MCI. Routine assays for these vitamins in elderly individuals with cognitive impairment should be reconsidered in resource-constrained settings.”

Kuchipudi et al. · From the abstract

Names both Methylcobalamin and Vitamin B9 in its title.

Pregnancy outcomes in women with epilepsy and MTHFR mutations supplemented with methylated folate and methylcobalamin (methylated B12).

Epilepsy & behavior reports · 2020 · PMID 33426516

“Their pregnancy outcomes improved with L-methylfolate and methylcobalamin supplementation. L-methylfolate and methylcobalamin supplementation merits further study in WWE who have MTHFR mutations, fertility, recurrent miscarriage and or depression histories.”

Lascar et al. · From the abstract

Names both Methylcobalamin and Vitamin B9 in its title.

Prenatal arsenic exposure and dietary folate and methylcobalamin supplementation alter the metabolic phenotype of C57BL/6J mice in a sex-specific manner.

Archives of toxicology · 2018 · PMID 29721587

Animal study

“These results suggest that prenatal iAs exposure impairs glucose metabolism in a sex-specific manner and that maternal folate/B12 supplementation may improve the metabolic phenotype in offspring. Further studies are needed to identify the mechanisms underlying these effects.”

Huang et al. · From the abstract

Names both Methylcobalamin and Vitamin B9 in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Methylcobalamin, Vitamin B9, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.