Vitamin B12 - serum
Last updated: Wednesday, 31, March, 2004
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5-10 mL blood in plain tube.
| Reference Interval|
Generally 120-680 pmol/L.
Investigation of a patient with a high MCV and/or morphological changes (blood film) suggestive of megaloblastic anaemia.
Although significant vitamin B12 deficiency with a normal FBC has been described in patients with neurological manifestations, this is rare and careful examination of the blood film has shown occasional macrocytes and neutrophil hypersegmentation.
Low in megaloblastic anaemia due to vitamin B12 deficiency.
Borderline levels may be seen in patients with folate deficiency.
Chanarin I. The Megaloblastic Anaemias. 3rd ed. Blackwell Scientific 1990.
Bain BJ. Blood Cells - A Practical Guide. 2nd ed. Blackwell Science 1995.
Curtis AD et al. Clin Lab Haematol 1986; 8: 135-140.