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Vitamin B12 (Serum) – Mass Concentration

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

This test measures the amount of vitamin B12 (also called cobalamin) in your blood. Vitamin B12 is essential for nerve function, red blood cell production, and DNA synthesis.

Quick summary

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

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

Key facts at a glance

LOINC
55883-3
Short code
Vit B12b Fld-mCnc
Synonyms
Vit B12b Fld-mCnc
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 May Be Ordered

Your healthcare provider may recommend this test if you have symptoms like fatigue, weakness, numbness in hands/feet, balance problems, or unexplained anemia. It may also be checked during routine blood work or if you have conditions like pernicious anemia, celiac disease, or long-term vegan/vegetarian diet.

What to Expect Before the Test

No special preparation is needed. You may eat and drink normally before the test. A small needle will be used to draw blood from a vein in your arm. The process usually takes a few minutes.

What the Results Mean

Low levels may indicate vitamin B12 deficiency, which can cause anemia or nerve damage. High levels are less common but may be due to certain medications or genetic conditions. Your doctor will interpret results in relation to your symptoms and medical history.

Common Causes of Abnormal Results

Deficiency can result from poor diet, malabsorption issues (e.g., stomach/intestinal disorders), certain medications, or conditions like pernicious anemia. Overproduction is rare but may occur with some medications or genetic disorders.

Reference range

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

Clinical Significance

Short name

Vitamin B12 Serum

Frequently asked questions

What questions might I have about this test?
This test helps diagnose vitamin B12 deficiency, which can lead to serious long-term health problems if untreated. Early detection allows for treatment with supplements or dietary changes to restore normal levels.
How often should I get this test?
Your doctor will determine the frequency based on your symptoms, medical history, and test results. Follow-up may be needed if levels are low or if you have risk factors for deficiency.
What are the typical reference ranges for this test?
Reference ranges vary by lab and may not be provided directly to you. Your doctor will use them to compare your result to what is typical for healthy adults and interpret the meaning for your situation.
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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