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In a randomized, double-blind, placebo-controlled trial in 2,919 participants (65 years) with elevated blood concentrations of homocysteine, supplementation with vitamin B 12 (500 g/day) and folic acid (400 g/day) for two years did not decrease the risk of osteoporotic fracture despite reductions in homocysteine (120, 121)

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Foods and drinks that contain B12 include: meat (especially organ meat such as liver and kidney) fish eggs milk Fortified foods contain a synthetic form of B12 and plant-based milks nutritional yeast breakfast cereals tofu fruit juices vegan spreads dairy-free yogurt Treating for a B12 deficiency requires building up the levels of B12 in the body and ensuring that the body can absorb the vitamin