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Folate in Serum (Concentration)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of folate, a B vitamin essential for red blood cell production and DNA synthesis, found in your blood serum.

Quick summary

["Helps assess vitamin B9 levels and potential deficiencies affecting red blood cells and pregnancy health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
12167-3
Short code
Fet AF space Imp Vol amnio fld US
Synonyms
Fet AF space Imp Vol amnio fld US
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
7.5
Ref high
11.5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test to check for folate deficiency, which can cause anemia, fatigue, or neurological issues. It’s often recommended during pregnancy to prevent birth defects or in cases of poor diet, alcohol use, or certain medications that deplete folate.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the draw if fasting samples are required for accuracy. Wear comfortable clothing and bring your medical records if you have conditions like kidney disease or autoimmune disorders.

How the Test Works

A blood sample is taken from a vein in your arm. The blood is processed to separate serum, which is then analyzed using a specialized immunoassay method to measure folate concentration.

What the Results Mean

Results are compared to standard reference ranges for your age, sex, and health status. Low levels may indicate deficiency, while high levels could suggest liver disease, certain medications, or overconsumption of folate supplements.

Reference range

Adult: 7.5-11.5 fLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Serum Folate

Frequently asked questions

Low folate levels can lead to anemia, birth defects in pregnancy, or increased risk of certain cancers. High levels may mask vitamin B12 deficiency (which can cause neurological damage) and are sometimes seen in conditions like alcoholism or chronic liver disease.
A folate deficiency may cause fatigue, weakness, or unusual mood changes. If your results are low, your doctor might recommend dietary changes (e.g., leafy greens, fortified cereals) or supplements under medical supervision.
This test is typically done alone but may be part of a broader panel if you have symptoms like unexplained fatigue, pale skin, or digestive issues.
No, folate levels can fluctuate based on diet, medications (e.g., anticonvulsants), or underlying health conditions like Crohn’s disease. Follow-up testing may be needed if initial results are borderline or abnormal.
Yes, if you’re pregnant, low folate is linked to neural tube defects in the baby. Your doctor may adjust prenatal vitamin doses or monitor levels closely.
No, folate and vitamin B12 are distinct but related. Both are B vitamins, but B12 deficiency can cause neurological symptoms (e.g., tingling) even with normal folate levels. Testing both is recommended if you have symptoms of deficiency.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy