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Morning administration is often recommended for several reasons: Consistency with routine : Taking supplements with breakfast helps establish a regular habit, improving adherence Perceived energy support : Although B12 doesn't provide immediate energy, taking it in the morning aligns with the body's natural circadian rhythm when energy demands are higher Avoiding potential sleep concerns : For individuals who report feeling more alert after taking B12, morning dosing eliminates any theoretical risk of evening alertness Absorption considerations are important when choosing timing

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Mechanistically, it inhibits glycolysis and mitochondrial hyperactivation in CD4 + T cells, thereby suppressing Th1/Th17 cell differentiation and promoting Treg cell expansion (221, 248)

Infants, children, pregnant and lactating women, and people who eat a vegan diet are also at higher risk of deficiency

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