I have been a vegetarian for 6.5 years, a vegan for 5 years, raw for 2.5 years and 80-10-10 for exactly two years now, so I thought it was time to check my blood levels again. It's not a very extensive test, but the results were fine except for two values: b12 and folic acid.
B12 values were really low: 86 pmol/L, compared with 0.30 nmol/L (which is I believe 300pmol/L) almost exactly two years ago. The reference range here in the Netherlands is 130 - 700. Even though the value is clearly on the very low side, my doctor wasn't worried. According to her, the absorption of b12 in the cells was fine. I don't know how she came to this conclusion, since I did not speak to her personally.
Folic acid was 33.2 nmol/L, which is outside of the reference range of 5.1 to 31.1 here in The Netherlands.
The other values were all within normal range. My iron had actually improved a lot compared with my earlier test.
My own feelings about the folic acid and b12:
-I'm not going to worry about the folic acid, since I'm not taking any supplements. I guess the folic acid must be coming from all the fruits and veggies.
-I'm going to worry about the b12 though. I will ask for b12 injections.
Any thoughts or suggestions?
So went to the doctor again, to ask her about my low level of b12. Turned out she was quite knowledgeable. She said they get regular briefings from a medical specialist on b12 issues. She told me: yes, b12 level was low, but when looking at the other blood values (like hemoglobin, M.C.V., M.C.H. and others) she wasn't worried. Any issues would be reflected in these other values. And they all were very good. She actually said that my diet seemed to work very well for me.
We agreed it would be wise to supplement with b12 (sublingual), and have another test in three months. I can live with this. As already said before, I'm really feeling very great. Broke my pushups record again this week! 63 now, beating my previous record of 50 when I was 25.