Folate Folic Acid Blood Test
Feb 16, 2026
Folate Folic Acid Blood Test
A folate blood test measures your vitamin B9 level—essential for red blood cell production, DNA synthesis, and preventing neural tube defects in pregnancy, with deficiency causing megaloblastic anaemia, fatigue, and (in pregnancy) serious birth defects like spina bifida. Testing is particularly important for women planning pregnancy and anyone with anaemia symptoms.
At Blood Test London, folate testing costs from £245 with results in 2-3 days.
Normal Folate Levels
Level | Interpretation |
|---|---|
Below 7 nmol/L | Deficient |
7-20 nmol/L | Low normal |
20-45 nmol/L | Normal |
Above 45 nmol/L | High (usually from supplements) |
For pregnancy: Levels should be optimised BEFORE conception.
Why Folate Matters
General Health
Red blood cell production
DNA synthesis and repair
Cell division
Homocysteine metabolism (cardiovascular health)
Pregnancy
Prevents neural tube defects (spina bifida, anencephaly)
Reduces miscarriage risk
Supports placental development
Critical in first 12 weeks (often before pregnancy known)
Symptoms of Deficiency
Fatigue and weakness
Pale skin
Shortness of breath
Mouth sores
Tongue swelling
Grey hair
Poor concentration
Depression
Irritability
Who Should Test?
Women planning pregnancy
Pregnant women
Symptoms of anaemia
Vegetarians/vegans
Alcohol excess
Digestive disorders (coeliac, Crohn's)
Taking certain medications (methotrexate, anti-epileptics)
Elderly
Folate-Rich Foods
Food | Folate (μg per serving) |
|---|---|
Liver (85g) | 215 |
Spinach (1 cup cooked) | 263 |
Black-eyed peas (1 cup) | 210 |
Asparagus (4 spears) | 89 |
Brussels sprouts (1 cup) | 94 |
Fortified cereals | Varies (100-400) |
Daily requirement: 200μg (400μg if planning pregnancy)
Supplementation
Planning pregnancy: 400μg folic acid daily (start 3 months before)
Pregnancy: Continue through first 12 weeks minimum
Deficiency: Higher doses as prescribed
MTHFR gene variants: May need methylfolate instead
Book Your Folate Test
Price: From £245
Results: 2-3 days
Doctor review: A doctor always reviews every result
Fasting required: No
Phone: 020 3951 3429
Blood Test London by The Wellness. Folate testing from £245, results in 2-3 days.