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Vitamin B12
MessageProtect from sunlight
Test Code
VB12
Alias/See Also
B12
CPT Codes
82607
Preferred Specimen
1.0 mL collected in a SST (serum seprator-gold top tube)
Patient Preparation
Patient should be fasting
Minimum Volume
0.5 mL
Other Acceptable Specimens
Tiger top (SST)
Red top
Plasma - Na Heparin
Plasma - Li Heparin
Plasma –EDTA (Lavender)
Red top
Plasma - Na Heparin
Plasma - Li Heparin
Plasma –EDTA (Lavender)
Instructions
Patient should be fasting.
Transport Temperature
Refrigerated or on ice packs.
Protect from sunlight
Protect from sunlight
Specimen Stability
Room Temperature: 2 hours at 20-25°C
Refrigerated: 2 days at 2-8°C
Frozen: 8 weeks at 20°C, Freeze only once.
Refrigerated: 2 days at 2-8°C
Frozen: 8 weeks at 20°C, Freeze only once.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples not labeled with complete first and last name and date of birth.
Grossly hemolyzed
Grossly hemolyzed
Methodology
Electrochemiluminescence immunoassay
Setup Schedule
Sun-Sat
Report Available
Same day
Limitations
Samples should not be taken from patients receiving therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration.
Reference Range
232 - 1245 pg/mL
Clinical Significance
Nutritional and macrocytic anemias can be caused by a deficiency of vitamin B12. This deficiency can result from diets devoid of meat and bacterial products, from alcoholism, or from structural/functional damage to digestive or absorptive processes (forms of pernicious anemia). Malabsorption is the major cause of this deficiency through pancreatic deficiency, gastric atrophy or gastrectomy, intestinal damage, loss of intestinal vitamin B12 binding protein (intrinsic factor), production of autoantibodies directed against intrinsic factor, or related causes. This vitamin is necessary for normal metabolism, DNA synthesis, and red blood cell regeneration.
Performing Laboratory
Frederick Health Laboratory 400 W 7th Street Frederick, MD. 21701
Last Updated: December 28, 2023