A process for simultaneous delivery of iron, iodine, folic acid, and vitamin B
12
through salt as a potential and holistic approach to ameliorate anaemia and reduce maternal and infant mortality is presented. Two approaches for adding folic acid and B
12
to salt during double fortification with iron and iodine were investigated. Attempts to add both micronutrients through the iodine spray solution were unsuccessful. Hence, folic acid was added through a stabilized iodine solution, and B
12
was added through the iron premix. Four approaches used to incorporate B
12
into the iron premix were investigated: (1) co-extruding B
12
with iron, (2) spraying B
12
on the surface of the iron extrudate, (3) adding B
12
to the colour masking agent, and (4) adding B
12
to the outer coating. Of these approaches, coextrusion (1) was the best, based on the ease of production and stability of fortificants. The salt formulated with the solid iron-B
12
premix and sprayed iodine and folic acid solution contained 1000 ppm iron, 50 ppm iodine, 25 ppm folic acid, and 0.25 ppm B
12
. Over 98% of B
12
, 93% folic acid, and 94% iodine were retained after 6-month storage in the best formulation. This technology can simultaneously deliver iron, iodine, folic acid, and vitamin B
12
in a safe and stable salt enabling public health measures for improved health at a minimal additional cost.