its extremely low. i will give you advise on how to improve them naturally. but with this critically low levels you will have severe symptoms. regarding initiation medicine consult with me on practo.
Dietary and Lifestyle Adjustments:-
Vitamin B12 Sources: Eat more B12-rich foods like fish, lean meat, eggs, poultry, dairy products, or fortified plant-based milks and cereals (especially important for vegetarians).
Vitamin D Sources & Sunlight: Safely increase short, regular periods of mid-day outdoor sun exposure and eat fatty fish (like salmon or mackerel), egg yolks, and fortified foods.
Check Root Causes: we should look for underlying issues like gut absorption problems, low stomach acid, or medications (such as long-term acid reducers) contributed to the deficiencies
Next Steps
feel free to consult me on practo for further evaluation and personalized management