SYNOPSIS A method for the measurement of serum folic acid activity is described, which is a modification of previous methods.The from normal subjects and patients with primary vitamin B12 deficiency. Normal subjects had serum folic acid levels from 5 9 to 210 m,ug./ml. (mean 9-9 m,ug./ml. ± 0-3 m.tg./ml. S.E.). In patients with megaloblastic anaemia requiring treatment with folic acid, other than megaloblastic anaemia of pregnancy, the levels were less than 4-0 mptg./ml. Patients with uncomplicated pernicious anaemia had levels from 6-0 to 27-0 m,tg./ml. (mean 16-6 m,ug./ml. ± 11 m,ug./ml. S.E.). The mean level in this group was higher than in normal subjects, and the highest levels of all were found in patients with subacute combined degeneration of the cord with minimal anaemia (range 14-4 to 36-8 mp,g./ml.; mean 24-8 mpg./ml. ± 2-4 mpig./ml. S.E.).The L. casei activity of the labile component is lost during autoclaving or storage at -20°C. This loss can be prevented during autoclaving by using adequate amounts of ascorbic acid in the phosphate buffer used to dilute the serum for assay and by adding ascorbic acid to serum that is to be stored. Moreover, the activity lost during the storage of serum not protected by ascorbic acid could be restored, for periods up to three months, by adding ascorbic acid to this serum before assay.The folic acid activity of blood and serum has been measured in the past by a number of workers using Streptococcus faecalis (Schweigert and Pearson, 1947; Wolff, Drouet, and Karlin, 1949;Toennies and Gallant, 1949;Girdwood, 1953;Nieweg, Faber, de Vries, and Kroese, 1954;Condit and Grob, 1958;and Cox, Meynell, Cooke, and Gaddie, 1960) and/or Lactobacillus casei (Schweigert, 1948;Simpson and Schweigert, 1949;Spray, 1952;and Spray and Witts, 1952) as test organisms. These workers were unable to demonstrate a consistent difference in the levels of folic acid activity of blood or serum in normal 'University of Queensland Travelling Scholar in Medicine.