Page 1/2
Patient : Mrs. Kajal Dey Order No. : A26IS6711735
UHID / IP No. : ILS7544990/ A25IP3357 Ordered By : Dr. Anupam Majumdar - Nephrology
Age : 70 years, F Ordered at : 28/04/2025 | 12:32 PM
Referred By : Sample Collected at : 28/04/2025 | 12:46 PM
Payor : Self-Pay Received at : 28/04/2025 | 12:46 PM
Processing Location : ILS Hospitals Agartala Reported at : 28/04/2025 | 05:19 PM
Ward / Bed No : MICU / 1C16 Visit Type : IP
Sample ID : IA910428205
IMMUNOASSAY
Test Name Result Unit Reference Interval Method
Vitamin B12- Serum
Sample: Serum
Vitamin B12 160.10 Low pg/mL 197 - 866 ECLIA
Interpretation:
Comments :
Vitamin B12,a water soluble vitamin,along with follic acid, is necessary for the formation and maturation of RBC and for the synthesis of DNA,which is the genetic material of
cells.Vitamin B12 act as co-enzyme for reducing ribonucleotides to deoxy-ribonucleotides. To differentiate between vitamin B12 and folate deficiency, measurement of methyl
malonic acid in urine and serum homocysteine level is recomended.Cobalamine deficiency leads to Megaloblastic anemia and demyelination of large nerve fibres of the spinal
cord.Vitamin B12 is found naturally in a wide Variety of animal food,like liver, shellfish,fish, meat,eggs,milk,and diary products.Vitamin B12 is mainly stored in liver, and normal
body stores are sufficient to last for 3-6years.Vitamin B12 is readily absorbed in the last part of small intestine (ileum) .However,to be absorbed,the vitamin must combine with
Intrinsic Factor(IF),a protein produced in the stomach. Without IF,vitamin B12 moves through the intestine and is excreted in the stool.
Cause of Vitamin B12 deficiency (Decreased level) :
The most common cause of vitamin B12 deficiency is inadequate absorption
Malabsorption :
Conditions affecting the small intestine, such as Chron"sdisease,Celiac disease,Regional ileitis,resected bowel, bacterial overgrowth, fishtapeworm infection, long term use of
acid-reducing drugs.
Lack of Intrinsic Factor :
Atrophic gastritis(thinning of stomach lining),Pernicious anemia(intrinsic factor deficiency),and Total & Partial gastrectomy.
Dietary deficiency :
Vegetarians
Increased demand:Pregnancy,specially,last trimester.
Cause of Increased level of Vit B12:
Chronic renal failure, liver disease, acute and chronic myeloid leukemia, congestive heart failure, carcinoma with liver metastasis.
Folate (Folic Acid)- Serum
Sample: Serum
Folate (Folic Acid) 10.38 ng/mL 2 - 20 ECLIA
Interpretation:
Intended Use:
Binding assay for the in vitro quantitative determination of folate in human serum and plasma.
Note:
Nutritional and macrocytic anemias can be caused by a deficiency of folate. Low serum folate during pregnancy has been associated with neural tube defects in the fetus.
Dietary deficiency and malabsorption are the major causes of folate deficiency in humans. Since a deficiency of either vitamin B12 or folate can cause megaloblastic anemia, it
Regd. Office: GPT Healthcare Limited, JC-25, Sector -Ⅲ, Salt Lake City, Kolkata - 700106
Ph.: 033 4050 7000 | CIN:L70101WB1989PLC047402
ILS Hospitals
SaltLake Dumdum *# Agartala Howrah*
Ph.: 033 4020 6500 Ph.: 033 40315001 Ph.: 8974050300 Ph.: 033 4088 0000
E-mail: info@ilshospitals.com Website: www.ilshospitals.com
->
Page 2/2
Patient : Mrs. Kajal Dey Order No. : A26IS6711735
UHID / IP No. : ILS7544990/ A25IP3357 Ordered By : Dr. Anupam Majumdar - Nephrology
Age : 70 years, F Ordered at : 28/04/2025 | 12:32 PM
Referred By : Sample Collected at : 28/04/2025 | 12:46 PM
Payor : Self-Pay Received at : 28/04/2025 | 12:46 PM
Processing Location : ILS Hospitals Agartala Reported at : 28/04/2025 | 05:19 PM
Ward / Bed No : MICU / 1C16 Visit Type : IP
Sample ID : IA910428205
is advisable to determine the concentration of both vitamin B12 and folate in order to properly diagnose the etiology of anemia. May give erroneous result in patients receiving
therapy with high biotin doses (i.e. > 5 mg/day) until at least 8 hours following the last biotin administration or patient receiving certain drugs like methotrexate or leucovorin
because of cross reactivity. Risk of toxicity from folic acid is low as it is a water soluble vitamin readily excreted in urine. For diagnostic purposes, the results should always be
assessed in conjunction with RBC folate, the patient’s medical history, clinical examination and other findings.
Biological Ref. Interval:
Adults : 2 – 20 ng/mL,
Children : 5 – 21 ng/mL,
Infants : 14 – 51 ng/mL,
------------------------------------------------ End Of Report ------------------------------------------------
DR. DEBINA SARKAR DR. DHRUBAJYOTI LAHON DR. TANUJA BHATTACHARYA DR. MAHARSHI DEBNATH
Consultant Consultant Pathologist Consultant Consultant
MBBS, MD (Biochemistry) MBBS, DCP TSMC - 00586 MD, Consultant Microbiologist MBBS, MD (Pathology) TSMC -
TSMC -001586 G -23382/000397 00744
Regd. Office: GPT Healthcare Limited, JC-25, Sector -Ⅲ, Salt Lake City, Kolkata - 700106
Ph.: 033 4050 7000 | CIN:L70101WB1989PLC047402
ILS Hospitals
SaltLake Dumdum *# Agartala Howrah*
Ph.: 033 4020 6500 Ph.: 033 40315001 Ph.: 8974050300 Ph.: 033 4088 0000
E-mail: info@ilshospitals.com Website: www.ilshospitals.com
->
