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RBC Folate (includes serum folate)

The RBC Folate test assesses the folate content in the red blood cells, providing an estimate of folate stores in the body. Since red blood cells live for about 120 days, the folate level in these cells reflects folate intake over a prolonged period, usually the last 1-4 months. This differentiates it from the serum folate test, which gauges folate levels in the blood at the time of testing and may fluctuate based on recent intake.


  • Test NameRBC Folate (includes serum folate)
  • Sample TypeBlood
  • Preparations RequiredNo fasting or specific preparation is required for this test.
  • Report Time24 hours

Folate, or folic acid, is essential for creating new cells in the body, including red blood cells, and for synthesizing DNA and RNA. It is particularly critical during periods of rapid cell division and growth, such as in pregnancy or infancy. A deficiency in folate can lead to various health complications, including anemia, where the body lacks enough red blood cells to carry oxygen to its tissues.

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Frequently Asked Questions

The RBC Folate test is done to determine if a person has a deficiency in folate, which could be the cause of symptoms like fatigue, weakness, or rapid heartbeat. It may also be ordered during pregnancy or as part of the diagnostic process for a variety of medical conditions.

Normal values can range from 140 to 960 ng/mL, but this may vary depending on the laboratory that analyzes the test. Always consult your healthcare provider for interpreting your specific test results.

Levels of RBC Folate can be influenced by factors such as diet, alcohol consumption, certain medications, pregnancy, and medical conditions affecting absorption, like celiac disease or Crohn's disease.

Eating a balanced diet rich in folate can help increase your levels. This includes foods like leafy green vegetables, fortified cereals, beans, peas, and nuts. In some cases, your doctor might recommend folic acid supplements.

A5: Yes, it is possible to have normal RBC Folate levels and still have health problems. Folate is just one component of your overall health, and other factors could be contributing to your symptoms. Always discuss your symptoms and concerns with your healthcare provider.

No, the RBC Folate test requires a blood sample that must be collected by a healthcare professional and analyzed in a laboratory.

If your RBC Folate levels are outside the normal range, it's important to discuss the results with your doctor. They can guide you on the next steps, which could include changes to your diet, medications, or further testing to determine the underlying cause.

Yes, certain medications, such as methotrexate, phenytoin, and certain antibiotics, can affect your RBC Folate levels. Always inform your healthcare provider about any medications you're taking.

A9: Symptoms of low RBC Folate can include fatigue, weakness, pale skin, shortness of breath, and irritability. Severe or prolonged deficiency can lead to megaloblastic anemia.

High levels of RBC Folate are not usually associated with direct harm. However, they can mask a deficiency in vitamin B12, leading to severe neurological complications if left untreated. Always discuss unexpected or unusual results with your healthcare provider.

No, while both tests measure the levels of folate in your body, the RBC Folate test indicates the long-term status of folate in your body while the serum folate test reflects the current status.

Yes, the test is safe for pregnant women and is important during pregnancy as folate plays a crucial role in the development of the baby's neural tube.

The test is generally safe with minimal risks. However, as it involves drawing blood, it may cause slight discomfort, bruising, or infection at the puncture site.

Consistently high RBC Folate levels despite a reduction in folic acid intake could be due to a variety of reasons and should be discussed with your healthcare provider.

Yes, smoking can lower your body's ability to absorb folic acid, potentially leading to lower RBC Folate levels.

RBC Folate test is a significant tool in understanding the overall health and wellness of your body. It is essential to have this test done when advised by your healthcare provider to ensure a timely diagnosis and treatment plan. Always remember to follow all the instructions provided and don't hesitate to ask your doctor any questions you might have. Your active participation in your health journey is crucial to achieving the best outcomes.

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