Yes, this is low, but not really low... 400 is the cut off here and 500 in Japan. But you are borderline, and have a neuro disorder. That alone should qualify you for supplementation.
I'd do methylcobalamin 1000mcg a day on an empty stomach.
This is the active form, and does not need activation like cyano does.
This is my B12 thread that explains it:
http://neurotalk.psychcentral.com/thread85103.html
Doctors still remain clueless on oral, and active forms. So please do read up and take advantage of the low prices you can get on the best form, methylcobalamin.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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