Energy and nutrients

Vitamin B12

Updated 2026-10-14Written for education by the Zenlo Health editorial teamHow we review
Quick answerA vitamin B12 test measures the B12 in your blood. Many labs flag levels under 200 pg/mL as low and 200 to 300 pg/mL as borderline.
Fasting and prepNo fasting needed. Some labs prefer you skip B12 supplements for a day before testing.
Typical turnaroundUsually 1 to 3 days.
Also calledb12 test, cobalamin

What it measures

B12 supports nerves and red blood cell production. Low levels are more common with vegan diets, metformin, acid-reducing medicines, weight-loss surgery, and age. Borderline results sometimes need a methylmalonic acid (MMA) test to clarify.

Who should consider it

  • People who follow a vegan or mostly plant-based diet
  • Adults on metformin or long-term acid reducers
  • Anyone with numbness, tingling, memory change, or unexplained anemia

How to read your result

  • Under 200 pg/mL is commonly considered low. 200 to 300 pg/mL is a gray zone.
  • Symptoms such as numbness or balance trouble need medical attention even with borderline results.

Reference ranges differ between labs. Use the range printed on your own report.

What to do next

A CBC can show whether low B12 has affected your red blood cells.

Where to order Vitamin B12

These sellers include an independent physician order. You pay online and visit a partner lab. Availability, price, and lab network vary, so confirm at checkout.

Private MD Labs

Online lab seller
  • Says 4,500+ Quest and Labcorp locations
  • Every order reviewed by a physician. Says you pay $1 to start and the rest after results.
  • Secure online portal with plain-English explanations. Says many results arrive overnight.

HealthLabs

Online lab seller
  • Says 4,500+ labs, including Quest and Labcorp
  • Online or by phone. No doctor referral or insurance needed.
  • Secure HealthLabs account. Says 1 to 3 business days.

Walk-In Lab

Online lab seller
  • Lab network not named on its homepage
  • Online, no insurance or doctor order needed. Shows a $6 physician fee per order on popular tests.
  • Online account. Turnaround not stated on its homepage.

Quest Health

Lab-run
  • Quest, 2,000+ locations
  • Buy online and book a Quest appointment. An independent provider is involved.
  • Online as soon as ready, with an email alert. Provider discussion included at no extra cost.

Seller details come from each seller's own site and can change. Confirm price, lab location, and state availability at checkout.

Questions people ask

Can I fix low B12 with supplements?

Often yes, but the right route (pills, injections) depends on the cause. A clinician can guide that.

Related guides

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