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Taking the B vitamin folic acid (folate) or eating a lot of folate-containing foods without adding B12 can actually mask the symptoms of a developing B12 deficiency

[7] [8] In the UK, berberine is classified as a food supplement regulated by the Food Standards Agency (FSA) and Trading Standards, with health claims governed by the Advertising Standards Authority (ASA)

But you shouldnt take lots of it unless your doctor tells you to

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Store the vial in the refrigerator, preferably in a dark bag, to minimize exposure to light and reduce degradation

New or worsening neurological symptoms warrant prompt medical assessment, as delayed treatment may result in permanent nerve damage