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: Prealbumin (Transthyretin) by Electrophoresis in Serum or Plasma

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

: This test measures prealbumin (also called transthyretin), a protein made by the liver, in a sample of serum or plasma. It is sometimes used to help assess nutritional status or liver function.

Quick summary

[": Prealbumin is a short-lived blood protein that can reflect recent nutrition and liver health, but it is not a stand-alone diagnostic test."]

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

Key facts at a glance

LOINC
58946-5
Short code
LH pre chal SerPl-aCnc
Synonyms
LH pre chal SerPl-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83002
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

: What Is Prealbumin?

: Prealbumin, also known as transthyretin, is a protein produced mainly by the liver. It carries thyroid hormones and vitamin A in the blood. Because it has a short lifespan in the body compared with many other proteins, its level can change relatively quickly, which is why it has been studied as a marker of nutrition and liver function.

: How the Test Is Done

: A small blood sample is collected, usually from a vein in your arm, and the serum or plasma is separated for testing. The electrophoresis method separates proteins based on their physical properties to help identify and measure prealbumin. Your healthcare provider will tell you if any special preparation, such as fasting, is needed.

: What the Results Can Mean

: A prealbumin result is interpreted alongside your symptoms, other lab tests, and overall health. Levels can be affected by nutrition, inflammation, infection, liver disease, and kidney function, so a result outside the expected range does not by itself confirm a specific condition. Your care team will consider the whole picture rather than a single number.

: Important Limitations

: Prealbumin is not a perfect measure of nutrition. Because it behaves like an inflammatory marker, illness or infection can lower it even when nutrition is adequate. For this reason, it is generally used as one piece of information among many rather than as a definitive test for malnutrition.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: Prealbumin

Frequently asked questions

: Do I need to fast before this test?
: Fasting requirements depend on your provider and the laboratory performing the test. Follow the instructions you are given; if you are unsure, ask your healthcare provider or the lab before your appointment.
: Can a low prealbumin result mean I am malnourished?
: Not necessarily. Low prealbumin can occur with poor nutrition, but it can also drop during inflammation, infection, or liver disease. Your provider will interpret the result together with your history, physical exam, and other tests.
: Is this test used to check my thyroid?
: Prealbumin carries thyroid hormones in the blood, but this test measures the protein itself, not thyroid function. Thyroid function is usually assessed with tests such as TSH. Ask your provider which tests are right for you.
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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