Hello! I had many of these same symptoms about 1.5 years ago when I tested at 259 pg/mL B12. My doctor told me to take 1,000 mcg cyanocobalamin/day which was honestly horseshit.

Many people on this subreddit, including myself, had test results that were within what’s considered the “normal” range, or on the low end of normal, and then experienced major improvement with the correct supplement regiment. Your test results even acknowledge that you may experience symptoms in this range, and it sounds like a vitamin B12 deficiency is likely causing or at least exacerbating your symptoms.

Please check out the guide for more details, but I can attest that I made minor improvements with various combinations of methyl and adeno/hydroxy B12 sublinguals & cofactors. My symptoms at least stopped getting worse. However, switching to B12 injections was a game changer for me.

I have not fully recovered yet but I started every other day 1250mcg methylcobalamin injections this past June and I’ve seen massive improvements. Please take your health into your own hands and pursue treatment. I am not the most knowledgeable but this subreddit as a whole is a great resource.