Vitamin B complex and heart

What 2 graded rows on vitamin b complex agree on for heart, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Vitamin B complex page, with its PubMed record.

Your question

Supplement
Vitamin B complex Choose another

Vitamin B complex and heart

2 rows · 73,885 people

They agree: both rows found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • No effect× 2
Rows
2
Trials
14
People
73,885
Pooled reviews may count some twice

What the rows share

From the rows

Every row is graded No effect, our grade for adequately powered trials that found no effect.

The rows run from 5,522 to 68,363 people, published from 2006 to 2026: 1 pooled review and 1 single study.

The rows

2 no difference
  1. No effectDeath, heart attack and stroke with B-vitamin combinations (pooled trials) · No difference

    Meta-analysis, 13 studies · n 68,363 · 2026 · Adults in primary and secondary prevention, 13 RCTs of at least 24 months

    Varied by trial · 24 months or longer

    No effect on all-cause mortality (RR 1.01), cardiovascular mortality (RR 0.97) or heart attack (RR 0.97); stroke (RR 0.91) and major cardiovascular events (RR 0.93) were not significantly lower overall. In primary prevention trials, stroke (RR 0.79) and major events (RR 0.80) were lower; in secondary prevention, major events fell modestly (RR 0.91, 95% CI 0.83–0.99).

    Row on the Vitamin B complex page · PubMed 41830012 (opens PubMed)

  2. No effectCardiovascular death, heart attack and stroke · No difference

    RCT · n 5,522 · 2006 · Adults 55+ with vascular disease or diabetes

    2.5 mg folic acid, 50 mg B6, 1 mg B12 daily · Mean 5 years

    Homocysteine fell 2.4 µmol/L, but the composite of cardiovascular death, heart attack and stroke was unchanged (18.8% vs 19.8%; RR 0.95, 95% CI 0.84–1.07). Stroke alone was less frequent (RR 0.75) and hospitalisation for unstable angina more frequent (RR 1.24).

    Row on the Vitamin B complex page · PubMed 16531613 (opens PubMed)

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