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B vitamins (vitamin B6, vitamin B12, folate) and mood: grade C

Limited evidence. Direction: No effect.

C LimitedSubjective outcome only

Why this grade

Rubric condition met: Three meta-analyses null or non-significant on mood-symptom scales, with a positive trend in one; mixed small trials. C, none; N not proposed because the B-complex meta-analysis trends positive (p = 0.07)

In the Bayer-co-funded meta-analysis of supplements with at least three B vitamins, the benefit for low-mood symptom scales did not reach significance (SMD 0.15, p = 0.07) and there was no effect on anxiety. A meta-analysis of vitamin B12 alone or B complex found no overall effect on measures of low-mood symptoms, nor did a 2024 vitamin B12 meta-analysis (3 trials). A 3-month vitamin B complex trial in workers found less dejected mood but no change in other mood measures.

How we grade evidence

Studies this grade rests on

EffectMixedNo effectSize shows participants (n)2010201520202025Meta-analysisRCTMarkun 2021, 2021: meta-analysis, n = 6,276, result not recordedYoung 2019, 2019: meta-analysis, n = 2,015, result not recordedStough 2011, 2011: RCT, n = 60, result not recordedAlzahrani 2024, 2024: meta-analysis, n not recorded, result not recorded
each study this grade rests on, by publication year and design. Solid: effect versus the comparator; half-filled: mixed; hollow: no effect; dashed: result not recorded yet. Larger marks had more participants.
Show the numbers
StudyYearDesignParticipantsResult
Stough 20112011RCT60result not recorded
Young 20192019meta-analysis2015result not recorded
Markun 20212021meta-analysis6276result not recorded
Alzahrani 20242024meta-analysisnot recordedresult not recorded

Assessment of Vitamin B12 Efficacy on Cognitive Memory Function and Depressive Symptoms: A Systematic Review and Meta-Analysis.

Alzahrani H. Assessment of Vitamin B12 Efficacy on Cognitive Memory Function and Depressive Symptoms: A Systematic Review and Meta-Analysis Cureus, 2024. PMID 39655146

Result not recorded
Design
Systematic review and meta-analysis of 9 RCTs
Population
Trial participants, some with mild cognitive impairment
Funding
No financial support received (author declaration)

The effect of 90 day administration of a high dose vitamin B-complex on work stress.

Stough C, Scholey A, Lloyd J. The effect of 90 day administration of a high dose vitamin B-complex on work stress Hum Psychopharmacol, 2011. PMID 21905094

Result not recorded
Design
Randomized, double-blind, placebo-controlled trial (90 days)
Sample
n = 60
Population
Full-time workers reporting chronic work stress
Funding
Funding: not stated in the PubMed or Crossref record; full text not read.

A Systematic Review and Meta-Analysis of B Vitamin Supplementation on Depressive Symptoms, Anxiety, and Stress: Effects on Healthy and 'At-Risk' Individuals.

Young LM, Pipingas A, White DJ. A Systematic Review and Meta-Analysis of B Vitamin Supplementation on Depressive Symptoms, Anxiety, and Stress: Effects on Healthy and 'At-Risk' Individuals Nutrients, 2019. PMID 31527485

Result not recorded
Design
Systematic review and meta-analysis of RCTs (18 articles, 16 trials; 12 meta-analyzed)
Sample
n = 2,015
Population
Healthy and 'at-risk' adults (poor nutrient status or poor mood status)
Funding
Partially funded by Bayer HealthCare; three authors have received research funding, honoraria and conference support from the nutrition and supplement industry

Effects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression.

Markun S, Gravestock I, Jäger L. Effects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression Nutrients, 2021. PMID 33809274

Result not recorded
Design
Systematic review, meta-analysis and meta-regression of 16 RCTs
Sample
n = 6,276
Population
Adults without advanced neurological disorders or overt vitamin B12 deficiency
Funding
Funding: not stated in the PubMed or Crossref record; full text not read. Authors declare no conflict of interest.

Search and history

Search (): (B vitamin*[ti] OR vitamin B[ti]) AND (stress[tiab] OR mood[tiab] OR depressive[tiab]) AND (meta-analysis[pt] OR systematic review[pt])

  • Graded C (proposed): Proposed in the monograph draft
  • C to C (approved): Editor sign-off November 13, 2026: grade matches the editor-approved final page