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Farnesoid X Receptor (FXR) Activity/Function (Serum)

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

This test measures the activity of Farnesoid X Receptor (FXR), a protein involved in regulating bile acid metabolism and liver function. It may be used to assess liver health or bile flow in certain conditions.

Quick summary

["This test helps evaluate how well your liver processes bile acids and may support diagnosis of liver or gallbladder disorders."]

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

Key facts at a glance

LOINC
7277-7
Short code
D farinae BasoBnd Ab Qn
Synonyms
D farinae BasoBnd Ab Qn
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
lhr
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

FXR activity is assessed through its influence on bile acid metabolism. Elevated or altered FXR activity can indicate changes in liver function or bile flow, which may be linked to conditions like primary biliary cholangitis or other metabolic liver diseases.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like itching, fatigue, or liver-related issues, or if you have conditions known to affect bile acid metabolism. It can also be part of a broader evaluation for liver disease or metabolic disorders.

Sample Collection and Preparation

A blood sample is drawn from a vein, typically in your arm. The serum portion of the blood is used for this test. You may be asked to fast for a certain period before the test, depending on your provider’s instructions.

What to Expect Before the Test

No special preparation is typically required beyond standard blood draw precautions. If you’re on medications that affect liver function, let your provider know to avoid potential interactions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Changes in FXR activity can reflect underlying liver or bile duct issues. High or low activity may signal conditions affecting bile acid processing, such as liver inflammation, gallbladder disease, or metabolic syndrome. This test is less commonly used than others but may be critical in specialized cases.

Short name

FXR Activity Test

Frequently asked questions

What does an abnormal result mean?
An abnormal result may suggest problems with bile acid metabolism or liver function, but it doesn’t diagnose a specific condition alone. Your provider will interpret results in the context of your symptoms, medical history, and other tests.
Is fasting required for this test?
Fasting requirements vary; your provider will specify. Generally, it may not be strictly necessary, but follow their guidance to ensure accurate results.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on lab processing times and your healthcare provider’s workflow.
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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