Folate deficiency

• Facts:
  Folate is found in green, leafy veggies and liver
  Heat sensitive, therefore usually destroyed in cooked foods
  Folic acid stores can be depleted within 4-5 months
• History / PE:
  Pale skin, nail beds
  
• Diagnosis:
  Megaloblastic anemia (MCV > 100)
  Decreased homocysteine levels, normal MMA
• Associated With:
  MCC is alcohol abuse
  "Tea and toast" diet
• Differential Diagnosis:
  Vitamin B12 deficiency (neurological signs)