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Folate test

Also called: Folic acid test, Serum folate

A folate test measures folate (vitamin B9) in your blood. Low folate can cause anemia with large red blood cells.

SampleA small tube of blood from a vein in your arm
Fasting?Sometimes 6 to 8 hours
ResultsUsually within 1 to 2 days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

It's often checked together with vitamin B12.

Why it's done

  • Anemia with large red blood cells
  • Poor diet, heavy drinking, or gut absorption problems
  • Taking medicines that affect folate, like methotrexate

Getting ready and what happens

  • You may be asked to fast for 6 to 8 hours.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

ResultTypical range for adults
Serum folateAbove about 3 ng/mL (labs vary)

Normal ranges vary from lab to lab and can differ by age, sex, and pregnancy. Your report lists your lab's own range next to each result. A result a little outside the range is often not a problem.

Low

Suggests folate deficiency from diet, alcohol, absorption problems, pregnancy needs, or some medicines.

Normal

Folate deficiency is uncommon in the U.S. because many grain foods are fortified.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?
  • Should I take folic acid?
  • Should my B12 be checked too?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.