Brain & Mood

The Best Vitamins and Supplements for Memory and Brain Health: What the Evidence Shows

Michael Gonzales By Michael Gonzales Updated 10 min read

Quick answer

Vitamin B12 and folate matter most if you are low. For people who already get enough, B vitamins, omega-3s and ginkgo showed no memory benefit in large trials; bacopa, caffeine with L-theanine and citicoline have small positive trials.

The Best Vitamins for Memory and Brain Health in 2023

The vitamins that matter most for memory and brain function are the ones you might be short on, especially vitamin B12 and folate, because correcting a shortfall supports normal nervous system function. For people who already get enough, large trials of B vitamins, omega-3s and ginkgo have mostly found no memory benefit. Bacopa, caffeine with L-theanine and citicoline have small, short trials with modest positive results.

Key Takeaways

  • Vitamin B12 and folate are needed for normal nervous system function. Low B12 can cause fatigue and neurological changes, so meeting your needs comes first.
  • In trials lasting 1 to 2 years, B12 alone or with folic acid and B6 did not improve cognitive function in older adults.
  • Omega-3 supplement trials in healthy older adults, and a 6-year ginkgo trial in more than 3,000 older adults, found no difference from placebo.
  • Bacopa extracts (300 to 450 mg a day for 12 weeks) improved some memory and attention-speed tests in small trials.
  • Caffeine with L-theanine improved alertness and attention-switching for about 2 hours, with caffeine doing most of the work.
  • Ginkgo may raise bleeding risk with blood thinners, and green tea extract has been linked to rare liver injury. Check with your doctor or pharmacist first.

Evidence grade: Emerging. NIH sets intake values for B12 and folate, but for memory in well-nourished adults the human evidence is mixed: large trials of B vitamins, omega-3s and ginkgo were neutral, while bacopa, caffeine with L-theanine and citicoline rest on small, short trials.

This article covers the vitamins and supplements marketed for memory and focus. For the food side, see our guide to nutrition and brain health, and for sleep, caffeine timing and breakfast, see nutrition for focus and mental performance.

The Evidence at a Glance

Nutrient or supplement Amount studied or needed What human studies show Bottom line
Vitamin B12 Adults need 2.4 mcg a day Low B12 can cause neurological changes. Extra B12 for 1 to 2 years did not improve cognitive function in older adults [1]. Essential if you are low; no proven benefit beyond your needs
Folate (folic acid) Adults need 400 mcg DFE a day 400 mcg folic acid plus 1 mg B12 for 24 weeks lowered homocysteine by 36% but did not improve cognitive function in adults 70 and older [2]. Meet your needs from food; no proven memory benefit
Omega-3s (DHA and EPA) 500 mg DHA plus 200 mg EPA a day in one trial No difference from placebo after 24 months in healthy adults aged 70 to 79 [3]. Eat fish for overall health; supplement results are neutral
Ginkgo biloba 120 mg extract twice a day In 3,069 older adults followed for a median 6.1 years, rates of change in memory, attention and other thinking skills did not differ from placebo [11]. Not supported for memory
Bacopa monnieri 300 to 450 mg extract a day for 12 weeks Improved 9 of 17 memory free-recall tests across 6 trials [9]; a meta-analysis found faster attention-speed scores [8]. Modest, early evidence
Caffeine plus L-theanine About 50 mg caffeine with 100 mg L-theanine in one trial Better alertness and attention-switching accuracy in the first 2 hours [7, 10]. Short-term focus aid; caffeine drives most of the effect
Citicoline (CDP-choline) 500 mg a day for 12 weeks Improved episodic and overall memory scores in 100 adults aged 50 to 85 with age-related memory complaints [12]. One industry-funded trial; promising but early

B Vitamins: Correct a Shortfall First

Vitamin B12

Vitamin B12 occurs naturally in fish, meat, poultry, eggs and dairy, and it is added to many breakfast cereals and nutritional yeasts. Adults need 2.4 mcg a day, 2.6 mcg during pregnancy and 2.8 mcg while breastfeeding [1]. Low B12 can cause fatigue and neurological changes, such as numbness and tingling in the hands and feet, and these nerve symptoms can appear even without anemia [1].

The people most likely to run low include older adults, people who eat no animal foods, and people who take metformin or acid-reducing medicines [1]. If that describes you, ask your doctor about a blood test rather than guessing.

For people with normal levels, the evidence is not encouraging. Observational studies link low B12 with poorer cognitive scores, but randomized trials have not shown that B12, alone or with folic acid and vitamin B6, improves cognitive function in older adults over 1 to 2 years [1].

Folate

Folate is found in dark green leafy vegetables, beans, peas, nuts, eggs, seafood and fortified grains. Half a cup of boiled spinach provides about a third of the Daily Value [2]. As with B12, most clinical trials have not shown that folic acid supplements change cognitive function, even though they lower homocysteine [2].

Omega-3 Fatty Acids

DHA is especially concentrated in the brain and retina, which is why omega-3s are so often marketed for memory [3]. Trials in healthy older adults have been neutral. Besides the 24-month trial in the table, the AREDS2 trial gave 350 mg DHA and 650 mg EPA for 5 years and found no effect on cognitive function in 3,501 older adults [3]. Fatty fish remains a good food choice for many reasons; our guide to nutrition and brain health covers how much to eat.

Herbal and Other Supplements Marketed for Memory and Focus

Ginkgo

Ginkgo leaf extract is one of the best-known memory supplements, but NCCIH states that it is uncertain whether ginkgo influences cognitive performance in healthy people, and much of that research is low quality [5]. The large GEM trial found no difference from placebo in rates of change in memory, attention, language or executive function over a median of 6.1 years [11].

Bacopa

Bacopa monnieri is a traditional Ayurvedic herb. A 2012 systematic review of 6 randomized trials in adults, all 12 weeks long and using 300 to 450 mg of extract a day, found that bacopa improved 9 of 17 memory free-recall tests, with little evidence for other thinking skills [9]. A 2014 meta-analysis of 9 trials with 518 participants found faster scores on an attention and processing-speed test and shorter choice reaction time [8]. The trials are small and short, so long-term effects are unknown.

Caffeine with L-theanine

L-theanine is an amino acid found in tea. In a 2008 trial of 27 people, 50 mg caffeine with 100 mg L-theanine improved speed and accuracy on an attention-switching task at 60 minutes and reduced distraction on a memory task; the authors worked for a food and consumer-goods company [10]. A 2014 meta-analysis of 11 placebo-controlled studies found moderate effects of the combination on alertness and attention-switching accuracy in the first 2 hours, with caffeine dose accounting for more of the effect than L-theanine dose [7].

Citicoline

Citicoline, also called CDP-choline, is a naturally occurring compound involved in making phosphatidylcholine, a major fat in cell membranes. In a 12-week trial, 100 adults aged 50 to 85 with age-related memory complaints took 500 mg a day or a placebo. The citicoline group improved more on episodic memory and a composite memory score, which were secondary outcomes. The trial was funded and partly authored by the company that makes the ingredient [12].

For how these ingredients fit into the wider category, see our guide to nootropics and what is the best nootropic.

Multi-Ingredient Formulas

Many memory and focus products combine several of these ingredients. One example is OPA Neuro Plus, a capsule formula designed to support mental focus, alertness and clarity. Each two-capsule serving contains a 692 mg brain support complex that includes DMAE bitartrate, Bacopa extract, green tea extract, choline bitartrate, inositol, N-acetyl L-tyrosine, GABA, DHA and Huperzia A, and a bottle provides a 30-day supply. The amount of each ingredient inside the blend is not listed separately, so you cannot compare its Bacopa content directly with the doses used in the trials above. If you consider a formula like this, read our guide to DMAE bitartrate side effects and the safety notes below.

Safety and Interactions

  • Vitamin B12: there is no upper limit because of its low potential for toxicity. If you take metformin, or proton pump inhibitors such as omeprazole or H2 blockers such as cimetidine, talk to your doctor about your B12 status [1].
  • Folic acid: the adult upper limit is 1,000 mcg a day from supplements and fortified foods. Large amounts can correct the anemia of low B12 while nerve damage continues [2]. If you take methotrexate, talk to your doctor before taking folate [2].
  • Fish oil: the FDA has concluded that supplements providing no more than 5 g a day of EPA and DHA are safe when used as recommended. If you take warfarin or another blood thinner, talk to your doctor first [3].
  • Ginkgo: the most common side effects are dizziness, digestive symptoms and headache. Ginkgo may increase bleeding risk in people taking anticoagulants such as warfarin, may interact with other medicines and may be unsafe in pregnancy. Fresh ginkgo seeds are toxic and should never be eaten [5].
  • Green tea extract (in many focus formulas): side effects can include nausea, constipation, stomach discomfort and raised blood pressure, and rare liver injury has been reported, mostly with extract capsules or tablets. Green tea can lower blood levels of nadolol and atorvastatin and interacts with raloxifene [6].
  • Caffeine: the FDA cites 400 mg a day as an amount not generally associated with negative effects for most adults. Count caffeine from supplements along with coffee, tea and energy drinks, and talk to your provider if you are pregnant or breastfeeding [4].
  • Bacopa and citicoline: trials lasted about 12 weeks. In the citicoline trial, a few people reported mild, short-lived effects such as headache, gas and increased appetite [12]. Long-term safety of both is not well studied.
  • Multi-ingredient formulas: show the label to your pharmacist if you take prescription medicines, and avoid stacking several products that each contain caffeine or green tea extract.

Frequently Asked Questions

What vitamin is best for memory?

No vitamin has been shown to boost memory in people who already get enough. Vitamin B12 matters most if you are low, because a shortfall can cause fatigue and neurological changes. Older adults, people who eat no animal foods and people taking metformin or acid-reducing medicines should ask their doctor about checking B12.

What supplements are studied for focus and concentration?

Caffeine has the most consistent short-term evidence for alertness, and caffeine combined with L-theanine improved attention-switching in several small studies. Bacopa has modest results for memory and attention speed after 12 weeks. Ginkgo is widely sold for memory, but NCCIH says it is uncertain whether it affects cognitive performance in healthy people.

Can supplements help with brain fog?

Only if the fog comes from something a supplement corrects, such as low vitamin B12. Fogginess has many causes, including short sleep, dehydration, medications and medical conditions. See your doctor if it lasts, rather than trying products one after another.

Will a memory supplement help if I already eat well?

Probably not much. Large trials of B vitamins, omega-3s and ginkgo in well-nourished older adults found no difference from placebo. The more promising ingredients, such as bacopa and citicoline, have small, short trials with modest effects that still need confirmation.

What are the side effects of memory supplements?

They depend on the ingredient. Ginkgo can cause dizziness, digestive upset and headache and may increase bleeding risk with blood thinners. Green tea extract has rare reports of liver injury. Caffeine can cause a fast heartbeat, anxiety and poor sleep at high intakes. Check with your doctor or pharmacist, especially if you take medication.

How long do memory supplements take to work?

Caffeine and L-theanine act within an hour or two. Bacopa and citicoline were tested for 12 weeks, so trials do not tell us about faster effects. If you are correcting a B12 shortfall, your doctor can recheck your levels to confirm the shortfall has been corrected.

Sources

  1. NIH Office of Dietary Supplements. Vitamin B12: Fact Sheet for Health Professionals.
  2. NIH Office of Dietary Supplements. Folate: Fact Sheet for Health Professionals.
  3. NIH Office of Dietary Supplements. Omega-3 Fatty Acids: Fact Sheet for Health Professionals.
  4. U.S. Food and Drug Administration. Spilling the Beans: How Much Caffeine Is Too Much?
  5. National Center for Complementary and Integrative Health. Ginkgo: Usefulness and Safety.
  6. National Center for Complementary and Integrative Health. Green Tea: Usefulness and Safety.
  7. Camfield DA, Stough C, Farrimond J, Scholey AB. Acute effects of tea constituents L-theanine, caffeine, and epigallocatechin gallate on cognitive function and mood: a systematic review and meta-analysis. Nutr Rev. 2014.
  8. Kongkeaw C, Dilokthornsakul P, Thanarangsarit P, et al. Meta-analysis of randomized controlled trials on cognitive effects of Bacopa monnieri extract. J Ethnopharmacol. 2014.
  9. Pase MP, Kean J, Sarris J, et al. The cognitive-enhancing effects of Bacopa monnieri: a systematic review of randomized, controlled human clinical trials. J Altern Complement Med. 2012.
  10. Owen GN, Parnell H, De Bruin EA, Rycroft JA. The combined effects of L-theanine and caffeine on cognitive performance and mood. Nutr Neurosci. 2008.
  11. Snitz BE, O'Meara ES, Carlson MC, et al. Ginkgo biloba for preventing cognitive decline in older adults: a randomized trial. JAMA. 2009.
  12. Nakazaki E, Mah E, Sanoshy K, et al. Citicoline and Memory Function in Healthy Older Adults: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. J Nutr. 2021.

Disclosure: OPA Nutrition sells supplements, including products mentioned in this article. This content is for education only and is not medical advice. Statements about dietary supplements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Talk to your healthcare provider before using any supplement, especially if you take medication or have a medical condition.

Written and reviewed by Michael Gonzales, Founder, OPA Nutrition · Last reviewed: · How OPA researches and writes

Michael Gonzales

Written by

Michael Gonzales

Health & fitness consultant

Michael has a diverse set of skills and passions, with a full-time career as an airline pilot and a dedicated focus on health and fitness consulting. He understands the importance of balancing a busy lifestyle with maintaining a healthy mind and body, and is committed to helping others achieve the same success. Michael's expertise in health and fitness is not just limited to physical training, but also extends to nutrition, stress management, and overall wellbeing. He takes a holistic approach to health and fitness, helping clients to achieve their goals in a sustainable and fulfilling way. With a strong desire to inspire and motivate others, Michael is always ready to share his time and knowledge with those who seek his guidance. Whether in the air or on the ground, Michael is dedicated to helping others live their best lives.

This article is for general education and isn't medical advice. Talk with your healthcare provider before starting a new supplement, especially if you take medication, are pregnant or are nursing.

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