What is Hydroxo B12 with Folinic Acid?
Hydroxo B12 with Folinic Acid combines two B vitamins in their non-methylated forms: hydroxocobalamin (vitamin B12) and folinic acid (vitamin B9/folate). This lozenge delivers both vitamins in forms that differ from the more common methylcobalamin and methylfolate found in many B-vitamin supplements. The body converts hydroxocobalamin and folinic acid into their active methylated counterparts as needed, providing a non-methylated alternative for those who prefer precursor forms.
The lozenge format dissolves in the mouth, supporting absorption through the oral mucosa. The formula is manufactured by Seeking Health, a practitioner-focused supplement brand founded by Dr Ben Lynch.
Fairfield Nutrition Thoughts
This product provides hydroxocobalamin and folinic acid—two non-methylated forms of B12 and folate respectively. These forms differ from both synthetic folic acid and pre-methylated supplements (methylcobalamin and methylfolate), sitting at an intermediate point in the B-vitamin conversion pathway.
Hydroxocobalamin has been used in clinical settings for decades and converts in the body to both adenosylcobalamin and methylcobalamin. Folinic acid bypasses the initial enzymatic step required by synthetic folic acid, converting to methylfolate through a single enzymatic reaction. Together, these forms provide B12 and folate in a format that allows the body to regulate its own conversion to active methylated forms.
Why This Formulation / How It Works
Most B-complex supplements use either synthetic folic acid (which requires multiple enzyme conversions) or pre-methylated forms like methylcobalamin and methylfolate. This product uses hydroxocobalamin and folinic acid—intermediate forms that sit between synthetic and fully methylated on the conversion pathway. This provides a non-methylated option for those who prefer precursor forms of these B vitamins.
The lozenge format allows the vitamins to dissolve in the mouth for absorption through the oral mucosa, an alternative delivery route to standard capsules or tablets.
How Hydroxocobalamin and Folinic Acid Function
Hydroxocobalamin and folinic acid serve as cofactors in methylation pathways, where they facilitate the transfer of methyl groups involved in DNA synthesis and other cellular processes. B12 specifically participates in the regeneration of tetrahydrofolate, the active form of folate used in these biochemical reactions. Providing both nutrients together supports the complete methylation cycle at the cofactor level.
Conversion to Active Forms
Hydroxocobalamin converts in tissues to adenosylcobalamin (utilised in mitochondrial pathways) and methylcobalamin (utilised in methylation reactions). Folinic acid converts to methylfolate through a single enzyme step. This on-demand conversion allows the body to regulate its own methylation activity.
When to Consider This
This formulation provides hydroxocobalamin (B12) and folinic acid (B9) in a non-methylated lozenge form.
Non-methylated B-vitamin forms: Contains hydroxocobalamin and folinic acid rather than pre-methylated methylcobalamin and methylfolate, for those who prefer precursor forms.
Folinic acid conversion pathway: Folinic acid converts to methylfolate through a single enzymatic step, offering a distinct conversion route compared to synthetic folic acid.
Lozenge delivery format: The sublingual lozenge provides an alternative to capsules and tablets, supporting absorption through the oral mucosa.
Companion products: This product provides B12 and folate only. For additional non-methylated B vitamins, Seeking Health’s B Minus is a complementary formula.
How to Use
Dosage: Take 1 lozenge daily as needed, or as directed by your healthcare professional. Each lozenge provides 1,000 mcg of hydroxocobalamin and 1,360 mcg DFE (800 mcg) of folinic acid. The lozenge can be broken into smaller pieces if you prefer a lower dose.
Timing: Do not take within 5 hours of bedtime, as B vitamins can interfere with sleep for some people. Morning or early afternoon dosing works best for most users.
Delivery method: Dissolve the lozenge under your tongue or allow it to dissolve slowly in your mouth. This supports absorption and makes it easy for children or anyone with difficulty swallowing pills.
Ingredients
Per lozenge:
Hydroxocobalamin (Vitamin B12): 1,000 mcg
Folinic Acid (Methyl-free Folate): 800 mcg (1,360 mcg DFE)
Other ingredients: Xylitol, natural berry flavor, cellulose, stearic acid, magnesium stearate
Allergen information: Free from common allergens. Suitable for vegetarian and vegan diets.
Common Questions
What’s the difference between this and methylated B vitamins?
This product uses hydroxocobalamin and folinic acid, which your body converts to methylated forms (methylcobalamin and methylfolate) as needed. People sensitive to pre-methylated supplements experience fewer side effects with this approach because the conversion happens gradually in tissues rather than all at once. If you’ve had reactions to methylated B vitamins, this is worth trying.
Can I take this if I have MTHFR mutations?
Yes. Folinic acid bypasses the MTHFR enzyme entirely, converting to methylfolate through a different pathway. This makes it accessible for people with MTHFR variations who struggle with folic acid or methylfolate. Hydroxocobalamin also works well for MTHFR-related protocols.
When should I take this, and can I take it with food?
Take it in the morning or early afternoon—avoid the 5 hours before bedtime as B vitamins can be stimulating. You can take it with or without food. If you’re using it as a lozenge, dissolving it under your tongue bypasses some digestive processes and may support faster absorption.
Is this suitable during pregnancy and breastfeeding?
Yes. Seeking Health specifically notes this formulation is suitable for pregnancy and breastfeeding. B12 and folate are especially important during these life stages for fetal development and milk production. If you’re pregnant or breastfeeding, confirm with your healthcare provider that this dosage aligns with your individual needs.
Can I break the lozenge into smaller doses?
Yes. The lozenge can be broken into smaller pieces if you want to take a lower dose or give it to children. Many parents of children with MTHFR variations use this approach.
Warnings & Storage
Do not use if: You have a known sensitivity or allergy to B vitamins, are taking medications that interact with B vitamins, or are under 4 years old without healthcare provider guidance.
Cautions: B vitamins can be stimulating for some people; avoid taking within 5 hours of bedtime. If you experience any adverse reactions, discontinue use and consult your healthcare provider. This product is not suitable for people with pernicious anemia unless under medical supervision.
Storage: Keep the container closed in a cool, dry place away from direct sunlight and out of reach of children.
Always consult your healthcare professional before use if you have any pre-existing conditions or are taking medications.





















