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Calcitonin, 2 Minutes After 0.5 mcg/kg Pentagastrin IV — Serum/Plasma, Mass Concentration

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

A timed calcitonin blood test measured 2 minutes after IV pentagastrin, used to assess thyroid C-cell activity when routine testing is inconclusive.

Quick summary

["This test measures how strongly the thyroid C cells release calcitonin after a controlled stimulation."]

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

Key facts at a glance

LOINC
21133-4
Short code
Calcit 2M p 0.5 ug/kg Pg IV SerPl-mCnc
Synonyms
Calcit 2M p 0.5 ug/kg Pg IV SerPl-mCnc
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a stimulation test that measures the amount of calcitonin in blood 2 minutes after a calculated dose of pentagastrin is given through an IV. Pentagastrin temporarily stimulates thyroid C cells, which produce calcitonin.

Why might I need this test?

The test may be used when a routine calcitonin result does not clearly explain symptoms or test findings. It can help evaluate increased thyroid C-cell activity, including possible C-cell hyperplasia or medullary thyroid carcinoma.

How is the test performed?

A blood sample is collected before the medication is given. A clinician or trained staff member then administers pentagastrin through an IV, and additional blood samples are collected at specified times, including 2 minutes afterward. The samples are tested for calcitonin.

How do I prepare for the test?

Because this is a specialized stimulation test, follow the laboratory's instructions about fasting, timing, and medications. Tell the healthcare team about allergies, pregnancy, kidney problems, or any reaction you previously had to injectable medicines before pentagastrin is given.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated baseline or stimulated calcitonin level may suggest increased thyroid C-cell activity and can occur with C-cell hyperplasia or medullary thyroid carcinoma. However, mild elevations may have other causes, and an abnormal result alone does not establish a cancer diagnosis. Your clinician will interpret the result with your symptoms, examination, imaging, and other tests.

Short name

Pentagastrin-Stimulated Calcitonin

Frequently asked questions

Why are several blood samples needed?
The first sample shows the resting calcitonin level, while later samples show how strongly the thyroid responds to pentagastrin. Comparing these values can provide more information than a single measurement.
Does an abnormal result mean I have thyroid cancer?
No. An abnormal calcitonin result can have several causes and does not by itself diagnose thyroid cancer. Additional evaluation may be needed.
Is this the same as a routine calcitonin blood test?
No. A routine calcitonin test measures the level at one point in time, while this test measures the response to a medication. The medication and exact sampling times must be carefully controlled.
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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