What Is a Folate Blood Test?

Folate (vitamin B9) is essential for DNA synthesis, red blood cell production, and preventing neural tube defects.

Normal Range

  • 2–20 ng/mL (serum folate)
  • Below 2 = deficient

Deficiency Causes

  • Inadequate dietary intake
  • Malabsorption (celiac, IBD)
  • Alcohol use
  • Medications (methotrexate, sulfasalazine)
  • Increased demand (pregnancy)

Deficiency Symptoms

  • Macrocytic anemia (large red cells)
  • Fatigue
  • Glossitis
  • Neural tube defects in pregnancy

Food Sources

  • Leafy greens
  • Legumes
  • Fortified grains
  • Citrus fruits
Source: NLM MedlinePlus, AACC.

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