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Folate (vitamin B9) | Laboratory research

Also known as: folate Laboratory research
SKU: 1086

Original price was: ₾53.00.Current price is: ₾47.70.

Study material: Venous blood
Response time (working day): 1-2
The test is done on an empty stomach: Yes
Home call service: Yes
Country: Georgia

General Information

Folate – vitamin B9 – is an important component in assessing the blood formation processes and proper development of the nervous system in children. Timely testing helps prevent anemia and growth retardation.

 

Folic acid (FA)Is Group B water soluble vitamin (B9), which participates in the growth and development processes of the organism. FA is essential for the differentiation of red blood cells, for the normal functioning of the bone marrow and nervous system, for cell division, and is very important for the proper development of the fetus.

Folic acid metabolism is related With vitamin B12: Cobalamin is involved in the cellular uptake of 5-methyl-tetra-hydro-folate monoglutamate and its intracellular transformation into polyglutamate.

Most plant or animal foods contain FA, but Its deficiency is the most common B avitaminosis In Europe and North America. This is the result of an unbalanced diet with very low levels of fresh fruits and vegetables. In addition, with age, various diseases, specific medications such as cotrimoxazole can cause malabsorption and associated folic acid deficiency. Low levels of FA in the body can be caused by: alcoholism or its antagonists, malabsorption (for example, celiac disease), increased demand for it (for example, during pregnancy, anemia or malignant diseases).

Folic acid is absorbed in the small intestine. After absorption, food folate and reabsorbed bile folate move into the circulation, where they bind non-specifically and with low affinity to albumin; One-third circulates in free form, and only a very small fraction binds to the folate-binding protein obtained from the cell membrane; Circulating follicle monoglutamate is rapidly absorbed at the cellular level via the follicle receptor or by passive diffusion, converted to polyglutamate folate at the cytosolic level, and then transported to organs (35% of intracellular folium is found in mitochondria).

The human body contains 5-10 mg of folate and most (50%) is stored in the liver. Excretion occurs in feces (important for entero-hepatic processing) and urine.

Folic acid is also synthesized by intestinal bacteria.

When should we take the test?

  • Differential diagnostics of megaloblastic anemia;
  • Chronic alcoholism;
  • Women who are planning to become pregnant, especially if they have a child with a neural tube defect;
  • Monitoring treatment with anticonvulsants, antifolates (methotrexate), pyrimethamine (antimalarial), sulfasalazine (for inflammatory bowel disease), oral contraceptives;
  • Malabsorption syndromes;
  • Chronic liver disease;
  • Malnourished elderly person

 

 

Possible interpretation of the results

Folate concentration increases:

  • Vegetarianism;
  • Pernicious anemia (vitamin B12 deficiency);
  • Diseases of the distal small intestine;
  • Afferent loop syndrome.

Folate concentration decreases:

  • Malnutrition:Children who are exclusively on a dairy-free diet without folate, diet with phenylketonuria, malnutrition in the elderly, anorexia nervosa;
  • Alcohol abuse;
  • Malabsorption:Tropical sprue, celiac disease, Crohn's disease, herpetiform dermatitis, jeo-ileal bypass, intestinal resection;
  • Increased demand:Pregnancy, lactation, premature infants, adolescents, chronic hemolytic anemia, myeloproliferative diseases, metastatic carcinoma, hyperthyroidism, exfoliative dermatitis;
  • Increased loss: Chronic dialysis;
  • Chronic liver disease (Cirrhosis, hepatoma);
  • Drugs and toxins: Alcohol, sulfasalazine, anticonvulsants (hydantoins, valproic acid), antifolates (methotrexate), trimethoprim-sulfamethoxazole, oral contraceptives, antacids / H2 receptor blockers.

Folate deficiency is usually multifactorial.

Reference values

Folic acid (pteroyl monoglutamic acid)Is a substance from which folate is formed, a group of compounds with a similar structure consisting of a pteridine ring, a paraaminobenzoate, and one or more glutamine side chains. Polyglutamic forms predominate in the intracellular space and are more effective in enzymatic reactions. Metabolically active forms are: 5-methyl-tetra-hydro-folate (basic form of the organism), 10-formyl-tetra-hydro-folate and tetra-hydro-folate (which function as donor / receiver of carbon atom, respectively, amino acids and nucleoside metabolites In DNA synthesis).

 

Material for examination: Venous blood

 

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Preferably for the test on empty stomach Presence.

The test should be performed prior to any injection, transfusion, or folic acid treatment with vitamin B12.


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This medical information is not intended to be a universal treatment guide for all patients. The treatment process, including the type, volume, and frequency of diagnostic tests and therapeutic procedures, is determined by the physician individually — based on an assessment of the patient's condition and relevant medical indications. The decision is made in consultation with the patient. Before purchasing a test, please read the instructions for its preparation.
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