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Folate deficiency, also known as vitamin B 9 deficiency, is a low level of folate and derivatives in the body. [1] This may result in megaloblastic anemia in which red blood cells become abnormally large, and folate deficiency anemia is the term given for this medical condition. [3] Signs of folate deficiency are often subtle. [4]
It thus is also a biomarker for intracellular levels of folate. The FIGLU test is used to identify vitamin B₁₂ deficiency, folate deficiency, and liver failure or liver disease. [1] [2] It is elevated with folate trapping, where it is accompanied by decreased methylmalonic acid, increased folate and a decrease in homocysteine. [3]
Normal MMA levels indicate folate deficiency and elevated MMA levels indicate vitamin B 12 deficiency. [98] Elevated MMA levels may also be due to the rare metabolic disorder combined malonic and methylmalonic aciduria (CMAMMA). [117] [118] Folate deficiency is treated with supplemental oral folic acid of 400 to 1000 μg per day.
Symptoms, Complete blood count, Peripheral blood smear, Vitamin B12 level, Red cell folate level Macrocytosis is a condition where red blood cells are larger than normal. [ 1 ] These enlarged cells, also known as macrocytes, are defined by a mean corpuscular volume (MCV) that exceeds the upper reference range established by the laboratory and ...
Evidence exists linking elevated homocysteine levels with vascular dementia [10] and Alzheimer's disease. [ 11 ] [ 12 ] [ 13 ] There is also evidence that elevated homocysteine levels and low levels of vitamin B6 and B12 are risk factors for mild cognitive impairment and dementia . [ 14 ]
Elevated or normal serum vitamin B 12 levels may also be associated with a functional vitamin deficiency. [1] Functional deficiency has been described despite high B 12 concentrations and is due to a failure of cellular uptake, intracellular processing, trafficking, or utilization. [1] However, low vitamin B 12 levels may occur other than the ...
Folate levels in the individual may affect the course of pathological changes and symptomatology of vitamin B 12 deficiency. Vitamin B 12 deficiency in pregnant women is strongly associated with an increased risk of spontaneous abortion, congenital malformations such as neural tube defects, and problems with brain development growth in the ...
[56] [57] Low levels of serum vitamin B 12 may be caused by other factors than B 12 deficiency, such as folate deficiency, pregnancy, oral contraceptive use, haptocorrin deficiency, and myeloma. [57] High serum levels may caused by supplementing with vitamin B 12, present of antibodies to intrinsic factor, or due to underlying condition. [56]