आपके प्रश्नों को मैं पूरी तरह से समझ पा रहा हूं। आपकी इस समस्या को पूरी तरह से निदान करने के लिए मुझे और जानकारी की आवश्यकता होगी साथ में कुछ सामान्य टेस्ट और प्राथमिक पारिवारिक इतिहास को भी जानने की जरूरत रहेगी। आपकी दिनचर्या और अन्य आदतों को भी जानने की आवश्यकता होगी इसलिए इस समस्या की ट्रीटमेंट के लिए एक बार फोन या वीडियो कॉल के जरिए कंसल्टेशन हो सके तो ज्यादा बेहतर है। I completely understand your concern. To diagnose your problem completely, I would need more information as well as some general tests and a primary family history. Your routine and other habits will also need to be known, so for the treatment of this problem, once consultation can be done through phone or video call, it is better.

Are you a Research Scientist or a Patient? If you are a patient who is worried about his health then you should start treatment as per the Vit B12 value of 170 pg. If you are a Research Scientist who wants to assess the standard of training of Doctors in India, then you should concentrate on Holo Tc value.

Kindly consult a physician online

Low

Can help you, kindly consult by giving history for proper diagnosis and further management

As your active transcobalamine level is normal. Total B12 on lower side does not need treatment.Try to take B12 rich foods such as milk and milk products milk, cheese, yoghurt if you are vegetarian and fish, meat, eggs