Vitamin B12 (Methylcobalamin) vs Methylfolate (5-MTHF)

Vitamin vs Vitamin · evidence-backed comparison

Quick take
  • Vitamin B12 (Methylcobalamin) has the broader effect profile across the 9 effect categories.
  • Vitamin B12 (Methylcobalamin) is cheaper per serving ($0.12 vs $0.22).
  • Vitamin B12 (Methylcobalamin) has a slightly cleaner safety profile.

Side-by-side traits

TraitVitamin B12 (Methylcobalamin)Methylfolate (5-MTHF)
Category
VitaminVitamin
Active compound
MethylcobalaminL-5-methyltetrahydrofolate
Form available
Tablet, Capsule, LiquidCapsule, Tablet
Source
microbialsynthetic
Typical dose
500–1000 mcg daily400–1000 mcg daily
Dose range
500–1000 mcg400–1000 mcg
Loading protocol
Best taken with
sublingual or with foodwith food
Best time of day
morningmorning
Bioavailability
How efficiently the body absorbs and utilizes the compound.
Very High (5/5)Very High (5/5)
Onset time
Cumulative: 2–8 weeksCumulative: 4–8 weeks
Half-life
~6 days~3 hours
Evidence level
Quality and quantity of human research.
Strong (multiple RCTs / meta-analyses)Strong (multiple RCTs / meta-analyses)
Overall effect
Subjective effect magnitude.
Low (2/5)Low (2/5)
Muscle / strength
Very Low (1/5)Very Low (1/5)
Physical energy
High (4/5)Moderate (3/5)
Focus / cognition
Moderate (3/5)Moderate (3/5)
Mood / stress
Moderate (3/5)High (4/5)
Sleep quality
Very Low (1/5)Very Low (1/5)
Immunity
Low (2/5)Low (2/5)
Recovery
Post-exercise recovery support.
Low (2/5)Very Low (1/5)
Longevity / healthspan
Moderate (3/5)Moderate (3/5)
Safety rating
5 = exceptionally well-tolerated; 1 = significant risk profile.
Very High (5/5)High (4/5)
Price per serving
Approximate USD per typical daily dose.
$0.12$0.22
Vegan friendly
YesYes
Gluten free
YesYes
3rd-party tested
YesYes

About Vitamin B12 (Methylcobalamin)

Active 'methylated' form of B12 that bypasses MTHFR variants. Essential for vegans, the elderly, and metformin/PPI users.

Active compound: Methylcobalamin
Forms: Tablet, Capsule, Liquid
Onset: Cumulative: 2–8 weeks
energyvegan-essentialMTHFRmethylation

About Methylfolate (5-MTHF)

Pre-methylated folate that bypasses MTHFR variants. Essential during pregnancy and for treatment-resistant depression with low folate.

Active compound: L-5-methyltetrahydrofolate
Forms: Capsule, Tablet
Onset: Cumulative: 4–8 weeks
moodMTHFRpregnancyhomocysteine

Vitamin B12 (Methylcobalamin) safety

Common side effects:

  • Generally none

Avoid if:

  • Leber's optic atrophy

Drug interactions:

  • Metformin (depletes)
  • PPIs (reduces absorption)

Methylfolate (5-MTHF) safety

Common side effects:

  • Anxiety / irritability (over-methylation)
  • Insomnia (PM use)

Avoid if:

  • Bipolar disorder

Drug interactions:

  • Methotrexate
  • Antiseizure meds

Common uses

  • Vegan supplementation
  • Energy
  • Cognitive function
  • Anemia

Stacks well with: Methylfolate (5-MTHF), Betaine Anhydrous

Common uses

  • Pregnancy
  • MTHFR variants
  • Depression
  • Homocysteine

Stacks well with: Vitamin B12 (Methylcobalamin), Betaine Anhydrous

Medical disclaimer

SupplementDuel is for educational purposes only and is not medical advice. Consult a physician before starting, stopping, or combining supplements — especially if you are pregnant, breastfeeding, take prescription medication, or have a chronic condition.