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The Evidence

Page 01

Vitamin B12 on a vegan diet

This is the one nutrient the evidence is blunt about: plant foods are not a reliable source, so vegans need a supplement or fortified foods. Full stop.

This is a summary of the cited evidence, not medical advice.

  • RDA (adults) 2.4 mcg/day
  • Reliable vegan source Supplement or fortified foods
  • The rule Not optional

The short version

B12 is the vitamin where the honest answer and the reassuring answer are the same answer. Vegans need a reliable source, and plant foods are not it. Here is the US government's fact sheet, which is public domain, saying so plainly.

Primary source 01 / 04

Vegans who consume no animal products and vegetarians who consume some animal products (e.g., dairy products, eggs, or both) but not meat have a higher risk of developing vitamin B12 deficiency because natural food sources of vitamin B12 are limited to animal foods

NIH Office of Dietary Supplements US National Institutes of Health Vitamin B12: Fact Sheet for Health Professionals, 2024

The same fact sheet gives the fix in the next breath.

Primary source 02 / 04

Consumption of foods fortified with vitamin B12 (such as fortified nutritional yeasts) as well as vitamin B12 supplements can substantially reduce the risk of deficiency

NIH Office of Dietary Supplements US National Institutes of Health Vitamin B12: Fact Sheet for Health Professionals, 2024

What the dietitians' body says

The Academy of Nutrition and Dietetics is the largest body of registered dietitians in the United States. Its 2016 position paper is direct about which plant foods do not count.

Primary source 03 / 04

Vitamin B-12 is not a component of plant foods. ... 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.

Melina, Craig, and Levin Academy of Nutrition and Dietetics Position of the Academy of Nutrition and Dietetics: Vegetarian Diets, 2016

Primary source 04 / 04

Vegans must regularly consume reliable sources, meaning B-12-fortified foods or B-12-containing supplements, or they could become deficient, as shown in case studies of vegan infants, children, and adults.

Melina, Craig, and Levin Academy of Nutrition and Dietetics Position of the Academy of Nutrition and Dietetics: Vegetarian Diets, 2016

So the two most authoritative sources agree, and neither hedges. A B12 supplement or reliably fortified foods, every day. It is cheap, it is settled, and it is the least dramatic thing on this whole page.

Frequently asked

Do vegans really need to supplement B12?

Yes. The NIH Office of Dietary Supplements states that natural food sources of vitamin B12 are limited to animal foods, and the Academy of Nutrition and Dietetics states that vegans must regularly consume B12-fortified foods or B12-containing supplements or they could become deficient.

Can I get B12 from nutritional yeast or fermented foods?

Only if the nutritional yeast is fortified with B12. The Academy of Nutrition and Dietetics says fermented foods such as tempeh, nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B12.

The primary sources

The documents this page quotes. Read them yourself.

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