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Serum or Plasma Free Light Chain Immunoglobulin (Free Kappa and Lambda Light Chains) Profile

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

This test measures the free light chains (kappa and lambda) found in your blood, which are small protein fragments produced by immune cells. These fragments can help identify conditions affecting your immune system or kidney function.

Quick summary

["Assessing immune or kidney health through free light chain levels in your blood."]

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

Key facts at a glance

LOINC
33105-8
Short code
GA from GSL.Hansmann 1979
Synonyms
GA from GSL.Hansmann 1979
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-estimated-from-gsl-hansmann
CPT
83002
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 Is Done

Your healthcare provider may order this test to investigate symptoms like fatigue, weight changes, or unexplained kidney problems. It’s also used to monitor conditions such as multiple myeloma, lymphoma, or other immune-related diseases. Free light chains can sometimes appear in higher amounts when your kidneys aren’t filtering them properly.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm or vein for a blood draw. If you’re on blood thinners, let your provider know before the test.

What the Results Mean

Results show the concentration of free kappa and lambda light chains. Abnormal levels may signal conditions like multiple myeloma, kidney disease, or other immune disorders. Your provider will interpret these results in the context of your overall health and symptoms.

Common Conditions Linked to This Test

High levels of free light chains are often linked to plasma cell disorders (e.g., multiple myeloma) or kidney problems. Low levels may be less concerning but can still warrant further evaluation if symptoms persist.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free Light Chains

Frequently asked questions

What causes free light chains to be tested?
Free light chains are tested when symptoms like unexplained fatigue, kidney issues, or immune-related problems are present. It’s also used as part of routine monitoring for patients with known conditions like multiple myeloma or lymphoma.
How long does it take to get results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your provider will contact you once they’re ready for review.
Can diet or medications affect free light chain levels?
Dietary changes or most over-the-counter medications are unlikely to significantly impact free light chain levels. However, if you’re on long-term medications (e.g., blood thinners), inform your provider before the test.
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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