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Vitamin B12 (Serum or Plasma Concentration)

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

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

Quick summary

["Your B12 levels help ensure proper nerve function and blood health."]

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

Key facts at a glance

LOINC
61534-4
Short code
Vit B12 PhenX
Synonyms
Vit B12 PhenX
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
Method
phenx
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 numbness, weakness, fatigue, or memory issues, or if you have conditions like pernicious anemia, gastrointestinal disorders, or poor diet. It may also be used as part of routine screening or monitoring for vitamin deficiencies.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before the blood draw if your test involves a specific timing requirement. Bring any medications or supplements you’re currently taking to your appointment.

What the Test Involves

A healthcare professional will draw blood from a vein in your arm. The process is quick and typically painless. You may feel a slight pinch, but most people tolerate it well. The blood sample is then sent to a lab for analysis.

What the Results Mean

Results help determine if you have a vitamin B12 deficiency, which can affect how your body uses energy and maintains nerve health. Low levels may require dietary changes, supplements, or medical treatment to restore balance.

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.

Low vitamin B12 levels can lead to anemia, nerve damage, and cognitive issues. High levels may indicate underlying conditions like liver disease or certain medications. Your provider will interpret results in the context of your symptoms and overall health.

Short name

Vitamin B12 Level

Frequently asked questions

What causes low vitamin B12 levels?
Low vitamin B12 levels can result from poor diet (e.g., vegan/vegetarian diets), conditions affecting absorption (like atrophic gastritis or celiac disease), or certain medications. Chronic conditions such as pernicious anemia or kidney disease may also contribute.
What are common symptoms of low vitamin B12?
Symptoms may include fatigue, weakness, numbness or tingling in hands/feet, memory problems, balance issues, or unusual cravings. Some people may not experience symptoms until deficiency is severe.
How is vitamin B12 deficiency treated?
Treatment often involves oral supplements, injections, or high-dose vitamin B12 supplements. Lifestyle changes, such as a balanced diet rich in B12 sources (e.g., meat, eggs, dairy), may also help. Your provider will guide you on the best approach 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