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Serum or plasma concentration of free fatty acids (specifically long-chain fatty acids, measured via high-performance liquid chromatography)

Published: August 9, 2026Updated: August 17, 2026

This test measures the levels of certain long-chain fatty acids in your blood, which can help assess fat metabolism or identify abnormalities in how your body breaks down fats.

Quick summary

["Long-chain fatty acids play a role in energy production and cell function; abnormal levels may signal metabolic or genetic conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
11931-3
Short code
GA from HC.Hadlock82
Synonyms
GA from HC.Hadlock82
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-estimated-from-hc-hadlock
CPT
82553
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 of fatty acid metabolism disorders, such as unexplained muscle weakness, fatigue, or developmental delays in children. It may also be used to monitor conditions like mitochondrial disorders or to investigate unexplained high cholesterol or triglyceride levels.

What to Expect Before the Test

No special preparation is typically needed, but you may be asked to fast for 8–12 hours before the test if your blood is drawn in the morning. Avoid smoking or consuming alcohol for a few hours beforehand. Bring any medications you’re currently taking to your appointment.

What Happens During the Test

A healthcare professional will draw blood from a vein in your arm. The blood sample will be sent to a lab for analysis using high-performance liquid chromatography (HPLC), which separates and measures fatty acid levels with high precision.

What the Results Mean

Results will show the concentration of specific long-chain fatty acids in your blood. Abnormal patterns may indicate metabolic disorders, genetic conditions, or other health concerns that require further evaluation by a specialist.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: serum

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free fatty acid profile

Frequently asked questions

What does a high or low level of free fatty acids indicate?
High levels of certain long-chain fatty acids can suggest metabolic disorders, such as carnitine palmitoyltransferase deficiency or mitochondrial diseases. Low levels may be associated with improper fat metabolism or certain genetic disorders. Always discuss results with your doctor, as interpretation depends on your overall health and symptoms.
How often should I get this test?
This test is usually ordered as part of a diagnostic evaluation rather than a routine screening. Your doctor will determine how often it’s needed based on your medical history, symptoms, and treatment plan.
Can I eat or drink anything before the test?
If fasting is required, follow your healthcare provider’s instructions. Generally, avoid heavy meals, alcohol, or smoking for a few hours before the test to ensure accurate results.
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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 17, 2026. · Read our editorial policy