ANEMIA IN THE ELDERLY

Clinical Overview
  Laboratory Parameters

  Laboratory Parameters in Anemia Diagnosis
  Hemoglobin Serum Ferritin
  Hematocrit Serum Folate
  Total Reticulocyte Count Serum Vitamin B12
  Serum Iron The Schilling Test
  Total Iron Binding Capacity (TIBC) Serum Erythropoietin
     

Serum Vitamin B12

Serum Vitamin B12: 100-900 mcg/mL

Vitamin B12 is important for DNA synthesis, metabolic reactions with folic acid, and maintenance of the neurologic system.

Usual total daily requirements are 1-5 mcg and the body stores about 2-5 mg.13,15  The average diet contributes about 20 mcg of B12 daily such that it would take 3-4 years to develop a deficiency.13 

Low levels are indicative of a vitamin B12 deficient, megaloblastic anemia.

 

 

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