Its not just a simple building block
2017 Feb;55(2):376-385 108.6 Nordio M, Pajalich R

You're a strong candidate for B12 injections if you experience any of the following: Persistent fatigue that sleep doesn't fix Brain fog, forgetfulness, or trouble concentrating Low mood, anxiety, or stress that feels disproportionate to what's happening Weight gain or difficulty losing weight despite consistent effort Tingling, numbness, or weakness in hands or feet (signs of B12-related neuropathy) Frequent colds, slow healing, or post-COVID fatigue A plant-based, vegetarian, or vegan diet Age 50 or older (B12 absorption naturally declines with age) A history of gastric bypass, Crohn's disease, celiac disease, or chronic acid reflux Long-term use of metformin (for diabetes), proton pump inhibitors (Prilosec, Nexium), or H2 blockers (Pepcid, Zantac) An MTHFR gene variant or known methylation issue A history of B12 deficiency, pernicious anemia, or low folate Hormonal shifts: perimenopause, menopause, postpartum If you fit one or more of these, a vitamin B12 shot is one of the lowest-risk, fastest-acting interventions available

T., Unfer, V., Carlomagno, G
As shown in Figure 3A, reduced expression levels of IL-6 and 8 and MMP3, 12 and 13 were observed in the FOXO4-DRI treated group, which however were concomitantly accompanied with reduced expression of SOX9 and COL2 , as well as increased expression of CDKN2A, CDKN1A , and TP53 (encoding p53)