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Folic acid deficiency means that there is a lower than normal amount of folic acid in your blood. Folic acid is a water-soluble B vitamin, which means it cannot be stored in the body. You must get a continual supply of it.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. A blood test can help confirm a diagnosis of low folate levels and megaloblastic anemia.
It is difficult to distinguish between folic acid deficiency and
vitamin B12 deficiency. However, folic acid deficiency is confirmed only by measuring red blood cell (RBC) folate levels in the blood.
It is especially important to confirm a diagnosis of folic acid deficiency before treatment with supplemental folic acid begins. Mistreating an actual vitamin B12 deficiency with supplemental folic acid will mask the vitamin B12 deficiency, meaning the anemia will be corrected, but the neurological damage associated with vitamin B12 deficiency will progress.
It is possible to consume enough folic acid by eating a balanced, varied diet including rich sources of folate, the food form of folic acid. The recommended dietary allowance (RDA) for folic acid is 400 micrograms per day for most adults.
To get enough folate, consume plenty of the following foods:
Fortified grains, cereals, and bread products
Dried beans and legumes
Poultry, pork, liver, and shellfish
A variety of fresh fruits and vegetables, especially dark, leafy green vegetables, and citrus fruits and juices
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