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Carnitine Acylcarnitine Profile (Organic Acids)

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

This test measures the levels of various fatty acid compounds attached to carnitine in your blood. It helps identify metabolic disorders related to how your body breaks down fats.

Quick summary

["Assists in diagnosing conditions affecting fat metabolism and energy production."]

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

Key facts at a glance

LOINC
53238-2
Short code
Isovaleryl+MeButyrylcarn/C0 DBS-sRto
Synonyms
Isovaleryl+MeButyrylcarn/C0 DBS-sRto
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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 unexplained muscle weakness, fatigue, rapid breathing, or signs of metabolic issues (e.g., vomiting, seizures). It’s also used in newborn screening for certain inherited disorders.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm to draw blood. If you’re a newborn, a heel prick may be used. Avoid fasting unless instructed by your provider.

What the Test Results Mean

Abnormal results may indicate metabolic disorders, such as medium-chain acyl-CoA dehydrogenase (MCAD) deficiency or other carnitine-related conditions. Your doctor will discuss findings with you based on your symptoms and medical history.

Common Conditions Linked to This Test

This test is particularly useful for diagnosing inherited metabolic disorders that disrupt fat metabolism, such as carnitine palmitoyltransferase II (CPT II) deficiency or mitochondrial disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Early identification of metabolic disorders through this test can lead to timely interventions, such as dietary changes, medication, or special therapies. Untreated conditions may cause long-term health complications, including organ damage or developmental delays in children.

Short name

Carnitine Acylcarnitine Screen

Frequently asked questions

What does a ‘positive’ or abnormal result mean?
An abnormal result means your body may not be processing fats correctly, which could be due to a genetic disorder. Your doctor will review your results alongside your symptoms and medical history to determine the next steps.
How often should I get this test?
This test is typically ordered as part of a diagnostic evaluation, not as a routine screening test. Follow your healthcare provider’s advice on follow-up testing if needed.
Can diet or lifestyle changes affect this test?
Dietary restrictions (like fasting) may be advised before testing, but certain foods or supplements could theoretically influence carnitine levels. Always follow your provider’s instructions.
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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