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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

Due to the small number of cases in the literature there is no standard treatment regimen or desensitisation procedure for the vitamin B12 allergy yet

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There is no reliable home test for peptide potency