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Serum or plasma lactate concentration (substance concentration)

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

This test measures the amount of lactate, a substance produced when your body breaks down sugar for energy, in your blood.

Quick summary

["Lactate helps assess how well your body is using oxygen and can signal potential health issues like low oxygen levels or metabolic problems."]

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

Key facts at a glance

LOINC
51428-1
Short code
Lactate pre/p chal SerPl-sCnc
Synonyms
Lactate pre/p chal SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Critical range
— – 4 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 request this test if you have symptoms like rapid breathing, confusion, or fatigue, especially after exercise, illness, or during procedures that require oxygen use. It may also be checked in people with conditions like heart disease, stroke, or severe infections where blood flow or oxygen delivery could be affected.

When to Expect Results

Results are typically ready within 24 to 48 hours, depending on your lab’s processing schedule. Your provider will discuss them with you during your follow-up visit.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for a few hours before the test if it’s part of a broader metabolic evaluation, but this isn’t always required for a standalone lactate test.

What to Expect During the Test

A healthcare professional will draw blood from a vein in your arm. You may feel a slight pinch, but it’s generally quick and not painful. You can usually return to normal activities immediately afterward.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated lactate levels may indicate conditions like low blood oxygen (hypoxia), severe infections, heart problems, or metabolic disorders. Lower-than-expected levels might suggest overuse of oxygen or certain medications. Your provider will interpret results in the context of your symptoms and overall health.

Short name

Lactate Level

Frequently asked questions

What causes lactate levels to change?
Lactate levels can rise due to intense physical activity, certain medications, or medical conditions affecting blood flow or oxygen use. They may also drop if your body is using oxygen more efficiently or if certain medications influence metabolism.
How long do results stay abnormal?
The time abnormal results stay elevated depends on the cause. For example, after exercise, levels may return to normal within hours. In cases of illness or medical conditions, your provider will monitor and retest as needed to guide treatment.
Can lifestyle changes affect lactate levels?
Yes, lifestyle factors like exercise intensity, hydration, and diet can influence lactate levels. Avoiding extreme physical exertion or managing chronic conditions like diabetes may help stabilize results, but always follow your provider’s advice.
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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