To clarify the effect of vitamin B12 on the human circadian clock, fiv
e healthy male adults participated in two constant routine procedures,
2 or 3 weeks apart. In one, subjects received intravenous saline inje
ctions (placebo trial) and in the other, intravenous injections of met
hylcobalamin (MB 12) (drug trial). Intravenous administration of MB 12
increased rectal temperature in the later hours of the daytime during
the constant routine. The activity did not change between treatments
in any period during the constant routine. During the later hours of t
he constant routine, alertness assessed with visual analog scale was h
igher in the drug trial than in the placebo trial. The period in which
drug treatment produced greater alertness almost coincided with that
in which MB12 elevated rectal temperature. These results may provide e
vidence of an effect of vitamin B12 on the circadian clock.