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Vitamin B12 (Serum or Plasma Concentration)

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

This test measures the amount of vitamin B12 in your blood, an essential nutrient for nerve function and red blood cell production.

Quick summary

["Vitamin B12 helps prevent serious health issues like anemia or nerve damage."]

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

Key facts at a glance

LOINC
17529-9
Short code
Vit A 6h p SerPl-mCnc
Synonyms
Vit A 6h p SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
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 healthcare provider may recommend this test if you have symptoms like fatigue, numbness, tingling in the hands or feet, weakness, or unexplained anemia. It’s also used to check for deficiencies in people with certain medical conditions (e.g., pernicious anemia, celiac disease, or those on long-term vitamin B12 supplements).

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the draw if your blood is collected early in the morning. Bring any medications or supplements you’re taking, as some (like certain B vitamins or iron supplements) can affect results.

What Happens During the Test

A healthcare professional will draw blood from a vein in your arm. The process is quick and usually painless. The blood sample is sent to a lab for analysis using a specialized method to measure vitamin B12 levels.

What the Results Mean

Results help determine if your vitamin B12 levels are too low, normal, or too high. Low levels may indicate a deficiency, while high levels could suggest certain medical conditions or medications. Your provider will discuss the results in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Vitamin B12 deficiency can lead to serious health problems over time, including anemia (reduced red blood cells), nerve damage, and cognitive issues. Early detection and treatment (often with vitamin B12 injections or supplements) can prevent complications. High levels may require further evaluation to rule out conditions like kidney disease or certain medications.

Short name

Vitamin B12 Level

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’s processing time. Your healthcare provider will contact you once they are ready to discuss your results.
Can I take vitamin B12 supplements before my test?
It’s best to avoid taking high-dose vitamin B12 supplements or oral supplements 24–48 hours before your test, as they can affect the accuracy of your results. If you’re unsure, ask your provider for guidance.
What if my results are low?
If your vitamin B12 levels are low, your provider may recommend further testing (like measuring methylmalonic acid or homocysteine) to identify the cause. Treatment often involves vitamin B12 injections, oral supplements, or addressing underlying conditions like poor absorption (e.g., pernicious anemia or celiac disease).
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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