Vit
B12 level is borderline but homocysteine levels seem to be on the higher side ( it would have been better to evaluate if one had mentioned the unit behind the numbers). Does the child have hyper pigmented knuckles?
It could be due to folic acid, Vit B12 deficiency or some metabolic conditions
Next Steps
Baby to be examined by the pediatrician for further evaluation,treatment or referral.
Health Tips
Vit
B12 is present in dairy products and non vegetarian diet.