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Symptom → lab tests

What blood tests check for causes of numbness and tingling?

Short answer

Tingling in the hands or feet has two very common testable causes: vitamin B12 deficiency and diabetes-related nerve damage. Vitamin B12, hemoglobin A1c and glucose come first, with a metabolic panel for kidney function and electrolytes, thyroid testing, and folate. Sudden or one-sided numbness is an emergency, not a lab question.

Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026

When should you see a clinician instead of ordering a test?

  • Sudden numbness on one side of the body, facial droop, trouble speaking or severe headache — call emergency services
  • Numbness spreading upward, weakness, or loss of bladder or bowel control — seek care immediately

Why these tests for numbness and tingling?

B12 deficiency damages nerves and can do so before anemia appears; it is treatable and easy to miss. High blood sugar damages small nerve fibers over years — A1c is the screen. Low calcium or magnesium, kidney disease and hypothyroidism also cause tingling and show up on the CMP, magnesium and TSH.

Which conditions do these tests help evaluate?

  • Diabetes & Blood Sugar A1c, fasting glucose and insulin to screen for prediabetes and diabetes.
  • Anemia CBC, iron studies, ferritin, B12 and folate to find the cause of fatigue and low energy.

Which tests, and what do they cost?

Prices are cash-pay; every order adds one $6 lab processing fee. Physician authorization is included; no insurance or referral needed.

Test or panelTypePriceFastingResults
Vitamin & Mineral Deficiency PanelSaves $106.92 vs ordering the tests separatelyPanel · 9 tests$189.99No3–5 business days
Diabetes Screening PanelSaves $9.98 vs ordering the tests separatelyPanel · 3 tests$59.99Yes2–5 business days
Vitamin B12Test$25.99No2–4 business days
Hemoglobin A1cTest$21.99No2–4 business days
Glucose, FastingTest$24.99Yes1–3 business days
Comprehensive Metabolic PanelTest · 14 biomarkers$22.99Yes1–3 business days
TSH (Thyroid Stimulating Hormone)Test$26.99No1–3 business days
Folate (Vitamin B9)Test$32.99No2–4 business days
MagnesiumTest$19.99No2–4 business days

Common questions

My B12 is borderline. Could it still cause tingling?

Yes. Neurological symptoms occur at low-normal B12 levels in some people; methylmalonic acid can clarify. Discuss borderline values with a clinician before supplementing.

Educational content, not a diagnosis. Lab results are one input; a clinician interprets them with your history and exam.