Certain conditions may blunt or impede therapeutic response to methylcobalamin therapy
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
Potential Side Effects and Precautions Most people do pretty well with MIC B12 shots, but sometimes you might notice a few things
Washington, DC: The National Academies Press
FDA Recommendations - Locate and buy a sharps biohazard disposal container for B12 needles
If possible, work under a laminar flow hood