KO-bolt
Mineral
A trace metal that forms the core of vitamin B12 — you need it for healthy blood cells and nerve function, but only in the form of B12.
| Group | Recommended | Source |
|---|---|---|
| Adult male | No RDA for cobalt; 2.4 mcg of B12 provides adequate cobalt | NIH |
| Adult female | No RDA for cobalt; 2.4 mcg of B12 provides adequate cobalt | NIH |
| Pregnancy | 2.6 mcg B12 equivalent | WHO/IOM |
| Children | 0.9-1.8 mcg B12 equivalent by age | NIH |
| Older adults | 2.4 mcg B12 (may need supplemental form due to atrophic gastritis) | NIH |
| Food | Amount | Where |
|---|---|---|
| Beef liver | 70.7 mcg B12 per 100g | global |
| Clams | 98.9 mcg B12 per 100g | coastal regions |
| Sardines | 8.9 mcg B12 per 100g | Mediterranean |
| Beef | 5.9 mcg B12 per 100g | global |
| Salmon | 3.2 mcg B12 per 100g | global |
| Fortified nutritional yeast | 23.0 mcg B12 per 100g (fortified) | global (supplement) |
| Milk | 0.5 mcg B12 per 100ml | global |
| Eggs | 1.1 mcg B12 per 100g | global |
Mild: Fatigue, mild cognitive changes (reflects B12 deficiency)
Moderate: Megaloblastic anemia, glossitis, peripheral neuropathy
Severe: Subacute combined degeneration of spinal cord, severe anemia, irreversible neurological damage
Time to onset: B12 stores last 3-5 years; deficiency symptoms develop slowly over 1-3 years after stores depleted.
Upper limit: No established UL for dietary cobalt. Inorganic cobalt supplementation is not recommended.
Cobalt toxicity (cobaltism): cardiomyopathy (beer drinker's cardiomyopathy historically), polycythemia (cobalt stimulates erythropoietin), thyroid dysfunction, neurological impairment. Primarily from industrial exposure or prosthetic wear debris.
Cobalt as B12: absorbed via intrinsic factor in ileum (50-70% at physiological doses). Inorganic cobalt: absorbed but not biologically useful and potentially toxic.
Helped by: Intrinsic factor (for B12-bound cobalt), Adequate gastric acid (for B12 release from food)
Hindered by: Pernicious anemia (lack of intrinsic factor), Atrophic gastritis, Metformin, Proton pump inhibitors
B12 (cobalt-containing vitamin) is relatively heat-stable but can be degraded by prolonged cooking, especially at high pH. Losses of 10-30% with typical cooking. Fermented foods may contain B12 analogs that are not bioactive.
Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.