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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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Jun 2016;14(6):575-583

In the same study, the phosphorylation of endothelial isoform of nitric oxide synthase (eNOS) in vascular endothelial cells is found to be quickly induced by BPC 157 within 30 min