5 vitamin B12 COVID-19 controlled studies, 1 RCTs
30% improvement, RR
0.70
[0.52-0.95]
Supplementary Data — Vitamin B12 for COVID-19: real-time meta analysis of 4 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Jang
78%
0.22 [0.05-0.94]
no recov.
1/6
10/13
ECMO patients
Improvement, RR [CI]
Treatment
Control
Erfani (RCT)
75%
0.25 [0.03-2.01]
ICU
1/17
4/17
Erfani (RCT)
-1%
1.01 [0.72-1.41]
hosp. time
17 (n)
17 (n)
Bejan
34%
0.66 [0.30-1.44]
death
617 (n)
8,589 (n)
Bejan
35%
0.65 [0.31-1.36]
ventilation
618 (n)
8,611 (n)
Bejan
16%
0.84 [0.44-1.60]
ICU
625 (n)
8,642 (n)
Bejan
10%
0.90 [0.61-1.32]
hosp.
678 (n)
9,070 (n)
Nimer
24%
0.76 [0.52-1.10]
hosp.
35/395
184/1,753
Nimer
27%
0.73 [0.51-1.02]
severe case
40/395
220/1,753
Vitamin B12 COVID-19 outcomes
c19 early .org
December 2025
Favors vitamin B12
Favors control
Fig. S2. Comparison of results for RCTs versus observational studies.
For COVID-19 treatments, there is no significant difference between the results of RCTs and observational studies. Observational studies do not systematically over or underestimate efficacy. For high-cost treatments, there is a non-significant trend towards RCTs showing greater efficacy.
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