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Its primary job is to take nicotinamide (a form of vitamin B3) and methylate it, effectively taking it out of circulation for a critical cellular process: the NAD+ salvage pathway

Vegetarian sources of B12 include chlorella, nori, nutritional yeast and certain mushrooms, but many vegans and vegetarians have insufficient levels of B12 because its not widely found in plants. According to Mullane, not getting enough B12 can result in issues like anaemia, fatigue and more intense symptoms including shortness of breath, palpitations, pale skin, muscle weakness, numbness and tingling in hands or feet, blurred vision and memory loss

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Less common B12 shot side effects include : Chest tightness Skin rash or hives Dizziness Difficulty breathing A blue tint to the skin Call your doc ASAP if you notice any of these negative effects

This benefit appears early in treatment, often within 2-3 weeks

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