ESPGHAN's vitamin B12 supplementation recommendations for vegans


In what appears to be a position paper by the ESPGHAN Nutrition Committee - they write: "A position paper based on a systematic search by the ESPGHAN Nutrition Committee" - you can find ...

(1) lots of mistakes

... and ...

(2) hidden in their supplementary material a table with recommendations for vitamin B12 supplementation in vegans. They write "vegan children", but they did include all age groups. Below you can see their Supplemantary Table 2 - which I just copied and pasted:


"

Supplemental Table S2. Recommended intake of vitamin B12 in children on a  vegan diet.

Recommended intakes of vitamin B12 supplements in the population

Age

EFSA* (AI)

(mg/day)

Multiple daily dose

Single daily dose **

Multiple weekly dose

6 - 12 months

1.5

1 mg x2

5 mg

-

1 - 3 years

1.5

1 mg x2

5 mg

-

4 - 6 years

1.5

2 mg x2

25 mg

-

7 – 10 years

2.5

2 mg x2

25 mg

-

11 -14 years

3.5

2 mg x3

50 mg

1000 mg x2

15 – 64 years

4.0

2 mg x3

50 mg

1000 mg x2

65 + years

4.0

2 mg x3

50 mg

1000 mg x2

Pregnancy

4.5

2 mg x3

50 mg

1000 mg x2

Breastfeeding

5

2 mg x3

50 mg

1000 mg x2

Modified from Agnoli, C.; et al. Nutr Metab Cardiovasc Dis 2017, 27, 1037–1052.

*European Food Safety Authority [European Food Safety Authority (EFSA)] Dietary Reference Values for the EU.

**The single daily dose compared to the multiple daily dose has higher intakes in consideration of the kinetics and absorption efficiency already described in the literature (Allen LH. Am J Clin Nutr. 2009;89:693S-6S).

Abbreviations: Adequate Intake, AI.

"

As you can see, this table is the same table that was created and published by Agnoli et al. (2017), in their "Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition", except for the multiple weekly dose:







Reference:

Elvira Verduci, Jutta Kӧglmeier, Nadja Haiden, Laura Kivelä, Barbara de Koning, Susan Hill, Veronica Luque, Sissel J Moltu, Lorenzo Norsa, Miguel Saenz De Pipaon, Francesco Savino, Jiri Bronsky: Vegan diet and nutritional status in infants, children and adolescents: A position paper based on a systematic search by the ESPGHAN Nutrition Committee. J Pediatr Gastroenterol Nutr. 2025 Aug 17. doi: 10.1002/jpn3.70182. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/40819279/