The optimal level of serum folate and cobalamin (B12) has to start with an evaluation if the woman has the 5-HTH DNA snip to convert folate into 5- methylfolate. The best way is to test if the snip is present is to test CBC+ diff and if the If the Red Blood Cell Distribution Width (RDW) is higher than 13, suspect a problem with the genetic MTHFR mutation, thus unable to utilize Folate nutrient properly. Instead of providing folic acid or Folate, provide instead L-Methylfolate (5-MTHF) that has emerged as a popular alternative, and has been used as a complementary medicine in several recent clinical trials.

Verifying adequate B-12 is much easier, one (1) ml of liquid B-complex allowed to stay in the mouth for one (1) minute – the absorption of B-12 takes place in the mucus walls of the mouth.

1. Normal level--A serum B12 level> 300 pg/ml.

2. Serum level of B12 200 - 300 pg/mL are considered borderline,

3. Serum level of less than 200 pg/mL is defiecient. in this case further enzymatic testing may be helpful in diagnosis.