Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults
These injections are typically administered by healthcare professionals to treat vitamin B12 deficiency in people with pernicious anemia and other conditions, but some clinics offer training for safe self-injection at home
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Helps preserve lean muscle mass
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