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Serum/plasma concentration of folate (vitamin B9)

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

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

Quick summary

["Folate helps prevent birth defects and supports overall red blood cell health."]

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

Key facts at a glance

LOINC
98904-6
Short code
OF Pnl RBC
Synonyms
OF Pnl RBC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85041
SNOMED
900000000000003001
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 doctor may order a folate test to check for deficiencies, especially if you have symptoms like fatigue, weakness, or unusual bleeding. It’s also used in pregnancy to prevent neural tube defects in the baby. Folate levels can also be monitored in people with certain medical conditions, such as alcoholism or malabsorption disorders.

What to Expect Before the Test

No special preparation is usually needed, but your doctor might advise stopping certain medications that affect folate levels (like some anticonvulsants) for a few days before testing. If you’re pregnant, let your doctor know—some tests may be adjusted for safety.

What Happens During the Test?

A blood sample is drawn from a vein, typically in your arm. The sample is sent to a lab to measure folate concentration using a specialized immunoassay method.

What Do the Results Mean?

Results are compared to a reference range, but exact values can vary by lab. Low levels may indicate poor nutrition, certain medical conditions, or increased needs (like pregnancy). High levels might suggest folate supplements or certain medications.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Folate plays a critical role in cell growth and red blood cell production. Deficiencies can lead to anemia, neurological issues, or complications in pregnancy. Monitoring folate helps manage conditions like megaloblastic anemia or prevent birth defects in high-risk pregnancies.

Short name

Folate Level

Frequently asked questions

Why might my folate levels be low?
Low folate levels can result from poor diet (low intake of leafy greens, fortified foods), alcohol use, certain medications, or conditions like Crohn’s disease or celiac disease that affect nutrient absorption.
What are common symptoms of folate deficiency?
Symptoms may include fatigue, weakness, pale or jaundiced skin, glossitis (inflamed tongue), or neurological issues like memory problems or mood changes. Some people may not notice symptoms until they’re severe.
Do folate supplements always correct low levels?
Supplements can raise folate levels, but results depend on the cause of deficiency. Your doctor may recommend a follow-up test to ensure levels improve and adjust treatment if needed.
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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