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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

It is important to note that B12 injections should only be administered under the supervision of a healthcare professional, as improper use or administration of the injections can lead to serious health problems

Methionine, carnitine, and choline

Now, after this time, you may administer the injection per month

Vitamin B12 comes in many forms, however, sublingual B12 (taken under the tongue) is one option (NIH, 2020)