Orotic Acid

specialtyvitamin-like

At a glance

Best for
no standalone use is supported; mostly seen as a mineral carrier
Typical dose
no established beneficial dose for orotic acid itself
Time to effect
Not established
Main caution
high orotic acid intake is linked to fatty liver in animal models
Evidence strength: Very low; 'B13' is not a vitamin and human evidence is minimal

What is it

Orotic acid is an intermediate in the body's synthesis of pyrimidines (building blocks of nucleic acids) and was once mislabeled 'vitamin B13,' though it is not an essential vitamin. As a supplement it appears mainly as a mineral carrier (e.g. magnesium or lithium orotate), with claims that the orotate form improves mineral delivery. Direct clinical evidence for orotic acid itself is minimal, and high intake raises safety concerns.

Is it worth it for you?

Worth considering if…

  • You are evaluating a specific mineral orotate and understand the orotate is just a carrier

Probably skip if…

  • You believe it is an essential 'vitamin B13'
  • You want a proven benefit from orotic acid itself
  • You would take high doses

Evidence at a glance

GoalEvidenceEffectBest fitTime
mineral delivery as an orotate saltMixedNot established vs other saltsnone clearly establishedNot established

Evidence for 1 use

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

mineral delivery as an orotate salt

Mechanism only
Mixed

Orotic acid is used to form mineral 'orotate' salts (such as magnesium orotate), with marketing claims that orotate improves cellular mineral uptake. Evidence that orotate salts outperform cheaper, well-studied mineral forms is weak and largely mechanistic, and any benefit observed comes from the mineral rather than orotic acid. There is no good evidence orotic acid provides a benefit on its own.

Effect size: Not established vs other salts
Time to effect: Not established
Best fit: none clearly established

Bottom line: Orotate is a mineral carrier with no proven advantage over standard mineral salts; orotic acid itself has no established benefit.

How to take it

Typical dose
No established beneficial dose; in mineral orotates the relevant nutrient is the mineral, not orotic acid
Timing
Per the specific mineral product
With food
With food
How long to try
Not established

What to track

  • The mineral status you are actually targeting (e.g. magnesium)
  • Any GI upset

Safety

Common side effects

GI upset at higher intake

Serious risks

  • High orotic acid intake causes hepatic fat accumulation (fatty liver) in animal models; relevance and threshold in humans are unclear

Who should avoid it

  • People with liver disease
  • Anyone treating it as an essential vitamin
  • Pregnant or breastfeeding individuals (no data)

Pregnancy & breastfeeding

No reliable safety data for supplemental orotic acid in pregnancy or breastfeeding; avoid.

Choosing a product

Look for

  • If buying a mineral orotate, the elemental mineral amount stated clearly
  • Reputable brand with third-party testing
  • Honest labeling that does not call it a vitamin

Be skeptical of

  • 'Vitamin B13' branding
  • Claims of superior mineral absorption without evidence
  • Disease-treatment or anti-aging claims

References by claim

mineral delivery as an orotate salt

  • Torshin et al., 2015PubMed (2015) link
  • Strodl et al., 2024PMC (2024) link

Track Orotic Acid with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

Coming to App Store
Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.