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Folate and Vitamin B12 Screening Panel (Serum)

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

This test measures your levels of folate (a B vitamin) and vitamin B12 (cobalamin), both essential for red blood cell production and nerve function. Low levels may indicate deficiencies linked to fatigue, anemia, or neurological issues.

Quick summary

["Checks for vitamin deficiencies that can affect energy and health over time."]

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

Key facts at a glance

LOINC
46354-7
Short code
FFDM Brst-R screening
Synonyms
FFDM Brst-R screening
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mg-ffd
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 This Test Matters

Vitamin B12 and folate are critical for DNA synthesis, red blood cell formation, and maintaining nerve health. Deficiencies can lead to anemia, weakness, or even long-term nerve damage. This screening helps identify potential deficiencies early, especially in people with risk factors like poor diet, alcohol use, or certain medical conditions.

How the Test Works

Blood is drawn from your arm and sent to a lab. The test measures the concentration of folate and vitamin B12 in your serum. Results help determine if you need additional testing or dietary adjustments.

What to Expect Before the Test

No special preparation is needed, but avoid heavy meals 2 hours before your appointment. Wear comfortable clothing if you need an arm restraint. If you’re pregnant, discuss this test with your provider—it’s often recommended during pregnancy.

Common Causes of Low Levels

Low folate or vitamin B12 levels may result from poor diet (e.g., vegan/vegetarian diets), alcohol use, certain medications (like proton pump inhibitors), or conditions like celiac disease or Crohn’s disease. Older adults, those with malabsorption issues, or individuals with chronic illnesses may also be at higher risk.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Folate & B12 Screening

Frequently asked questions

What does a ‘low’ result mean?
A low result suggests you may have a deficiency, but it doesn’t always mean immediate action is needed. Your provider will discuss next steps, such as dietary changes, supplements, or further testing (e.g., methylmalonic acid or homocysteine levels).
Do I need to take supplements if my levels are low?
If your levels are low and your provider confirms a deficiency, they may recommend folic acid (folate) or vitamin B12 supplements. Dosage depends on your needs, and you’ll likely need follow-up tests to monitor improvements.
Can I eat certain foods to boost my levels?
Yes! Eat foods rich in folate (leafy greens, beans, fortified cereals) and vitamin B12 (meat, fish, eggs, dairy). If you follow a plant-based diet, consider a vitamin B12 supplement or fortified foods. Avoid excessive alcohol, as it can worsen deficiencies.
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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