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Statistics in Medicine 2002;21(11):153958

The honest answer is that it depends on what you're actually trying to address

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doi: 10.1038/s41568-019-0149-1 77 Friedmann AngeliJPSchneiderMPronethBTyurinaYYTyurinVAHammondVJet al

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