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Serum/plasma free protein-bound porphyrins (total)

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

This test measures certain porphyrins—compounds involved in hemoglobin production—that are bound to proteins in your blood. It helps assess how well your body is producing healthy red blood cells.

Quick summary

["This test may help diagnose conditions affecting red blood cell production or iron metabolism."]

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

Key facts at a glance

LOINC
109851-6
Short code
FSP Msmt PPP
Synonyms
FSP Msmt PPP
Category
coagulation
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
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 symptoms like fatigue, weakness, or pale skin, which can sometimes signal problems with red blood cell production. It may also be used in cases suspected of porphyria—a group of rare genetic disorders that cause abnormal porphyrin production.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for a few hours before the blood draw, but this depends on your provider’s instructions. Bring any medications you’re taking to discuss with them beforehand.

How the Test Works

A small amount of blood is drawn from a vein in your arm. The sample is then analyzed to measure the levels of free protein-bound porphyrins in your serum or plasma.

What the Results Mean

Results are compared to a reference range specific to your lab. Elevated levels may indicate conditions like erythropoietic protoporphyria or other metabolic disorders affecting porphyrin metabolism.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal results can signal underlying issues such as genetic disorders (e.g., porphyria), iron deficiency, or certain blood disorders. This test is often part of a broader evaluation when symptoms or lab findings suggest abnormal red blood cell production or metabolic disturbances.

Short name

Free protein-bound porphyrins

Frequently asked questions

What causes elevated or low porphyrin levels?
Elevated levels may be linked to genetic disorders (like porphyria), liver disease, or certain medications. Low levels are less common but could relate to severe anemia or rare metabolic conditions. Always discuss results with your provider, as they’ll interpret them in the context of your health history.
Does this test require fasting?
Sometimes, but not always. Your provider will specify if fasting is needed. If so, follow their instructions carefully to ensure accurate results.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will contact you with the final report.
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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