P.A? Not absorbing B12? Low folate level Need help.

Get a high end blender and make green smoothies in the morning to fix your folate issue. The folate in kale in the smoothie form is highly absorbable and you'll shoot from 2.7 to mid teens in no time.

I would also get a ferritin test to see if you are storing too much iron via a disease called hemochromatosis. A regular iron test can show normal but ferritin is the real test. Some of your symptoms seem to be consistent with that

You really do need to get your Folate level up either by as hemppatient123 suggests increasing your "greens" intake or supplementing with folic acid as this is essential to process the B12 you have swirling round your body.

In a normal healthy person the stomach lining has what are called "Gastric parietal cells" which produce "Intrinsic Factor" which travels with food through the small intestine which is made up of three parts - the Duodenum, the Jejunum and the Ilium..

Iron is absorbed in the Duodenum, most other nutrients in the Jejunum and our friend B12 in the Ilium.

Here the Intrinsic Factor binds to the B12 and the "B12/IF Complex" enters the cells on the wall of the Ilium after binding to receptors on the surface of the Ileal cells, allowing it to enter the blood stream.

The bowel is further on in the process so I doubt your "bowel problems" come into it as your B12 level is quite high.

Vitamin B12, one of eight B vitamins, is essential to blood formation, regeneration of vitamin B9, or folic acid, DNA synthesis and the proper function of the brain and nervous system. B12 is an essential vitamin. Essential nutrients are molecules the body cannot produce on its own. So they must be supplied in the diet. Even just a small deficiency of vitamin B12 can have drastic effects on mood. Symptoms of a small vitamin B12 deficiency include anxiety, stress, irritability, depression, fatigue and mental confusion. To prevent a vitamin B12 deficiency, take a vitamin supplement or incorporate foods high in vitamin B12, such as beef, liver, seafood, fish, cheese and eggs, into your diet.

Vitamin B12 helps generate the fatty layer of the nerve endings, also known as myelin. The myelin layer must be intact for neuron signals to transmit properly. A vitamin B12 deficiency may impair the myelin layer and prevent proper signal transmission.

Folic acid is crucial for proper brain functioning and plays an important role in mental and emotional health. It helps in the production of DNA and RNA, the body's genetic material, especially when cells and tissues are growing rapidly, such as during infancy, adolescence, and pregnancy. Folic acid works closely with vitamin B12 in making red blood cells and helps iron function properly in the body. Vitamin B9 works with vitamins B6 and B12 and other nutrients in controlling the blood levels of the amino acid homocysteine.

Rich sources of folate include spinach, dark leafy greens, asparagus, turnip, beets, and mustard greens, Brussels sprouts, lima beans, soybeans, beef liver, brewer's yeast, root vegetables, whole grains, wheat germ, bulgur wheat, kidney beans, white beans, lima beans, salmon, orange juice, avocado, and milk.

I wish you well