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High b12 low folate?

Ms28 profile image
Ms28
10 Replies

Hi all,

So bloods came back as ‘normal’ with b12 934 (slightly over range) and ferritin 48.

My folate is 4.5 and I’m tired all the time struggling to get through the day. Is this level of folate concerning at all in regards to fatigue?

Range is 3.8-9999 so quite a wide range?

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Ms28
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10 Replies
Nackapan profile image
Nackapan

I think that is low though .Usually there is a tighter range than that.

Ng/ml is the measure mine done with. The range 4-20ng/ml

That is plasma folate level.

If you don't take folic acid 200-400mcg often in a multi vit and eoujd help or 400mcg oluc acid recommended for chid bearing age women anyhow.

Greens ,chick pea ect to raises it a bit.

Discuss total iron results

With Gp. Some have symptoms below 50 . Of ferritin. So your level okay and within-

'Normal range depends on what you normally function on. Old blood results yk compare perhaus or ask G.p.

Yes low folate causes fatigue amongst other symptoms.

What did your doctor say?

Ms28 profile image
Ms28 in reply toNackapan

Hi, thanks for your reply. So my doctor hasn’t said a thing at all. I requested my bloods as they were reported as normal. My b12 seems quite high considering I haven’t been supplementing and it says just out of range keep under review.

Nackapan profile image
Nackapan in reply toMs28

Oh so are you not b12 deficient or have PA if not supplementing ?

If you have been on b12 injections ir b12 supplements it csn take months fir levels to drop but with pA nd absorbtion problems you need to carry on with maintanencd doses fir life.

I woukd take s modest folic acid 200-400 mcg daily

Eat what I suggested

Take your vit d

Eat well and get tested again Ii 3 months

Gp needs to work with you ti see why fatigue is a problem.

Just keep going back to Gp.

Ms28 profile image
Ms28 in reply toNackapan

Oh sorry I should Have explained, I don’t have PA I posted on here as there seems to be very good knowledge of folate b12 etc. I do always tend to get low ferritin due to issues reacted to endometriosis however.

Ms28 profile image
Ms28

These are the results with ranges

Attached results for ranges
fbirder profile image
fbirder

Folate doesn't have the same problem that B12 has - a wide overlap between normal people with B12 at the bottom of, or below, the normal range, and deficient people with B12 above the bottom of the normal range.

However, if you have any worries about folate, just take a supermarket folic acid, 400 mcg once a day.

jox1 profile image
jox1

Be cause of your fatigue you should also check vit D and ferritin plus thyroid levels ideally tsh as well as ft3 and ft4. Because of very high b12 you could also check the active form of serum b12 to see where that is. A GP won't want to all this so some may have to be privately sourced....

Some people like myself don’t convert folate and have to take methyl folate… maybe you fall into that category

Ms28 profile image
Ms28 in reply toTanyanarialucia1965

How do find out if that’s the case? As I’ve noticed my folate tends to be low in other tests too despite eating folate rich foods ?

You can google … but for me it’s obvious as I’m instantly better on them and methyl folate is not expensive to try to see the difference

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