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Homocysteine in Serum (Mass Concentration)

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

This test measures the amount of homocysteine, a type of amino acid, in your blood. Homocysteine is involved in metabolism but can build up when certain nutrients are low or when genetic factors are present.

Quick summary

["Homocysteine levels may indicate risks for heart disease or other health issues."]

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

Key facts at a glance

LOINC
22673-8
Short code
Deprecated Homocystine SerPl-sCnc
Synonyms
Deprecated Homocystine SerPl-sCnc
Category
chemistry
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have a history of heart disease, stroke, or blood vessel problems. It could also be checked if you have symptoms like fatigue, numbness, or memory issues that might be linked to nutrient deficiencies or genetic conditions.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it’s part of a broader metabolic evaluation. Bring any medications you’re taking, as some may affect results.

What the Test Involves

A blood sample will be drawn from a vein in your arm. This is a quick, painless procedure that usually takes a few minutes. You may feel a slight pinch, but most people tolerate it well.

What the Results Mean

Results are compared to general reference ranges, but individual needs vary. High levels may signal risks for vascular issues, while low levels could indicate deficiencies in vitamins like folate or B12.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated homocysteine levels are linked to increased risks of cardiovascular disease, including heart attacks and strokes. It may also be associated with nerve damage (neuropathy) or osteoporosis. Low levels are less commonly significant but could suggest underlying deficiencies that need addressing.

Short name

Homocysteine Level

Frequently asked questions

How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Follow up with your provider to discuss findings and next steps.
What causes homocysteine levels to be high?
High homocysteine can result from genetic factors, poor diet (low in folate, vitamin B6, or B12), kidney disease, or certain medications. Lifestyle changes or supplements may help manage levels.
Can I lower my homocysteine levels naturally?
Yes! Eating foods rich in folate (leafy greens), vitamin B6 (nuts, whole grains), and B12 (meat, eggs, fortified foods) can help. Exercise, quitting smoking, and managing conditions like diabetes also support lower levels.
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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