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C4P Carnitine Plasma Concentration (Mass Concentration)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of free carnitine in your plasma, a chemical that helps move fatty acids into cells for energy production. Low levels may indicate metabolic issues or certain genetic disorders.

Quick summary

["Free carnitine levels help assess how well your body converts fat into energy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
43580-0
Short code
C4PF
Synonyms
C4 Pcar-mCnc
Category
chemistry
Sample
serum
Container
Sterile plain tube or red-top vacuum tube without anticoagulant for pericardial fluid collection
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunonephelometry or Immunoturbidimetry
CPT
86160
SNOMED
39517006
Specimen volume
1-2 mL of pericardial fluid
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like muscle weakness, fatigue, or unexplained weight changes. It’s also used in diagnosing conditions affecting fat metabolism, such as mitochondrial disorders or carnitine deficiency.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the test if instructed. Bring any medications or supplements you’re taking to your appointment.

How the Test Works

A blood sample will be drawn from a vein in your arm. The sample is processed to measure free carnitine levels using a specialized laboratory technique.

Possible Results and Interpretation

Results are compared to a reference range specific to your lab. Low levels may signal metabolic dysfunction, while very high levels could indicate liver disease or muscle disorders. Your doctor will discuss findings in the context of your symptoms and medical history.

Reference range

Reference ranges for complement C4 in pericardial fluid are not well-established; results should be interpreted in conjunction with serum C4 levels and clinical context. Pericardial fluid C4 is typically lower than serum levels.N/A

Specimen: serum

No special patient preparation required prior to pericardiocentesis. Informed consent for the invasive procedure should be obtained.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Plasma Free Carnitine Level

Frequently asked questions

What might cause abnormal results?
Low free carnitine levels can occur due to genetic disorders (e.g., primary carnitine deficiency), liver disease, kidney problems, or certain medications. High levels may suggest muscle disorders, liver dysfunction, or overproduction of carnitine.
Can diet affect this test?
Dietary changes, especially high-fat or protein intake, can temporarily alter carnitine levels. Avoid extreme diets or supplements (like L-carnitine) without consulting your doctor before testing.
When should I follow up with my doctor?
If your test results are abnormal, your doctor will review them with you and may recommend further testing or adjustments to your treatment plan, such as dietary changes or medication review.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy