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Hemoglobin Electrophoresis (for Alpha-1 Antitrypsin and Other Globin Variants)

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

This test measures the different types of hemoglobin in your blood using electrophoresis, a method that separates proteins based on their electrical charge. It helps identify variations in hemoglobin that may indicate genetic conditions or other blood disorders.

Quick summary

["This test helps diagnose conditions affecting hemoglobin structure or function."]

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

Key facts at a glance

LOINC
12713-4
Short code
Hgb C+E+O+A2 Bld Ql Elph Alk
Synonyms
Hgb C+E+O+A2 Bld Ql Elph Alk
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
3.5
Ref high
5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis-ph
CPT
84132
SNOMED
110742001
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

Electrophoresis separates hemoglobin into distinct bands based on their electrical charge. This test specifically looks at hemoglobin variants, including Alpha-1 Antitrypsin (A1AT) and other globin proteins. Variations in these proteins can be linked to genetic disorders or conditions like alpha thalassemia or sickle cell trait.

Why It’s Done

Your healthcare provider may order this test if you have symptoms like fatigue, anemia, or if genetic testing suggests a potential hemoglobin disorder. It can also be used to screen family members of those with known hemoglobinopathies.

Sample Collection and Preparation

A small blood sample is taken from your arm. The blood is processed to separate the hemoglobin components, which are then analyzed using electrophoresis to create distinct bands representing different hemoglobin types.

Common Conditions or Symptoms

This test is particularly useful for diagnosing inherited blood disorders such as alpha thalassemia, sickle cell disease, or conditions affecting Alpha-1 Antitrypsin levels. It may also help confirm or rule out certain genetic conditions that alter hemoglobin structure.

Reference range

Adult: 3.5-5.0 mmol/LN/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal hemoglobin patterns detected by this test can indicate underlying genetic disorders that may require further medical evaluation, treatment, or monitoring. Early identification can help manage symptoms and guide personalized care plans.

Short name

Hemoglobin Electrophoresis

Frequently asked questions

What does an abnormal result mean?
An abnormal result may suggest a genetic hemoglobin disorder, such as thalassemia or sickle cell trait, or conditions affecting Alpha-1 Antitrypsin levels. Your healthcare provider will discuss the findings with you and may recommend additional tests or treatments based on the results.
How long does it take to get results?
Results are typically available within a few days to a week, depending on your lab’s processing schedule. Your healthcare provider will contact you once the results are ready.
Can I eat or drink before this test?
You can eat and drink normally before this test, as it involves a simple blood draw. However, follow any specific instructions your healthcare provider gives you for your particular situation.
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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