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Serum or Plasma Antithrombin III Activity (Qualitative or Quantitative)

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

This test measures the level of antithrombin III, a natural protein in your blood that helps prevent blood clots from forming. It may be used to check for conditions that affect blood clotting or bleeding risks.

Quick summary

["Antithrombin III helps regulate blood clotting; low levels may indicate bleeding disorders or clotting risks."]

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

Key facts at a glance

LOINC
6458-4
Short code
LCMV Ab Titr Ser IF
Synonyms
LCMV Ab Titr Ser IF
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
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 doctor may order this test if you have symptoms of bleeding problems, such as easy bruising, excessive bleeding from cuts, or unexplained nosebleeds. It may also be done before surgery to assess your risk of bleeding. Additionally, it could be used to monitor conditions like liver disease, which can affect protein production, or to evaluate patients with inherited clotting disorders.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if your blood is drawn from a vein. If you’re taking blood from a fingerstick, fasting may not be required. Always follow your doctor’s instructions.

How the Test Is Done

A healthcare provider will draw blood from a vein in your arm using a needle. You may feel a small pinch when the needle goes in, but the procedure is quick. The blood sample is then sent to a lab for testing.

What the Results Mean

Results are typically reported as a percentage or ratio compared to a standard. Very low levels may suggest bleeding disorders, liver disease, or other conditions affecting protein production. Very high levels may rarely indicate certain medical conditions or lab errors. Your doctor will interpret the results in the context of your overall health and symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Antithrombin III (ATIII) Test

Frequently asked questions

How does antithrombin III relate to my health?
Antithrombin III is crucial for maintaining a balance between blood clotting and preventing excessive bleeding. Low levels can increase your risk of bleeding, especially during surgery or trauma, while high levels may sometimes indicate underlying conditions like liver disease or certain blood disorders. Your doctor will use the results to guide treatment or further testing if needed.
What causes abnormal antithrombin III levels?
Abnormally low levels may be due to liver disease (which affects protein production), certain medications, or inherited clotting disorders. High levels are less common but could be linked to liver dysfunction, pregnancy, or rare genetic conditions. Always discuss symptoms and test results with your healthcare provider.
Can I get this test at home?
Currently, this test is typically performed in a clinical lab setting. Blood samples are collected by a healthcare professional. Some at-home diagnostic kits exist for certain blood tests, but antithrombin III testing is not widely available for home use without medical supervision.
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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