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Serum Folate and Vitamin B12 Levels with Combined Interpretation

Published: August 9, 2026Updated: August 17, 2026

This test measures your blood levels of folate (a B vitamin) and vitamin B12 (another essential B vitamin) to check if your body has enough of these nutrients.

Quick summary

["Your body needs these vitamins to stay healthy, especially for red blood cell production and nerve function."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
14733-0
Short code
Folate+Vit B12 SerBld-Imp
Synonyms
Folate+Vit B12 SerBld-Imp
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
200
Ref high
900
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Might Be Ordered

Your doctor may recommend this test if you have symptoms like fatigue, weakness, numbness, or unusual bruising. It’s also used to diagnose or monitor conditions like anemia, nerve problems, or deficiencies in these vitamins.

What to Expect Before the Test

No special preparation is needed, but you may need to fast for 8–12 hours before the test if your blood is drawn early in the morning. Bring any medications you’re taking to your appointment.

What the Test Involves

A healthcare provider will draw blood from a vein in your arm. The blood will be sent to a lab for testing. The results will include separate measurements for folate and vitamin B12, along with an interpretation of whether your levels are within a healthy range or if further action is needed.

What the Results Mean

Low levels of either folate or vitamin B12 can indicate deficiencies, which may require dietary changes, supplements, or medical treatment. Your doctor will discuss the results with you and explain next steps based on your specific situation.

Reference range

NCBI: Vitamin B12 200-900 pg/mLN/A

Specimen: serum

Fasting for 8-12 hours preferred for some tests. Inform about supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low folate or vitamin B12 levels can cause anemia (reduced red blood cells), nerve damage, or other health issues. These vitamins are crucial for DNA synthesis, red blood cell production, and maintaining nerve function. Your doctor may recommend adjustments to your diet, supplements, or further testing if deficiencies are found.

Short name

Folate & B12 Profile

Frequently asked questions

How long does it take to get my results?
Results are typically available within 1–3 business days, depending on your lab. Your doctor will contact you once they’re ready to discuss them.
Can I eat or drink anything before the test?
If your blood is drawn in the morning, you may need to fast for 8–12 hours before the test. If drawn later, you can eat and drink normally. Always follow your doctor’s specific instructions.
What should I do if I have symptoms of deficiency?
If you experience symptoms like fatigue, weakness, numbness, or unusual bruising, talk to your doctor. They may recommend this test or other blood work to check for deficiencies and suggest appropriate treatment, such as dietary changes or supplements.
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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 17, 2026. · Read our editorial policy