In the case of folic acid deficiency, what lab result is typically observed?

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In the context of folic acid deficiency, an increased mean corpuscular volume (MCV) alongside decreased folate levels is a characteristic finding. Folic acid is essential for DNA synthesis and red blood cell production, and its deficiency often leads to ineffective erythropoiesis, which is reflected in the blood work.

An increased MCV indicates that red blood cells are larger than normal, a condition known as macrocytosis. This is a common laboratory result in cases of macrocytic anemia due to folate deficiency. The associated decrease in folate levels confirms the deficiency since folic acid is necessary for the production of healthy, appropriately sized red blood cells.

When diagnosing macrocytic anemia, it's important to differentiate between potential causes, such as vitamin B12 deficiency and folic acid deficiency. In the case of folic acid deficiency specifically, one would observe this combination of high MCV and low folate levels in laboratory results, making it a classic presentation.

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