: Prealbumin (Transthyretin) by Electrophoresis in Serum or Plasma
: 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.
[": Prealbumin is a short-lived blood protein that can reflect recent nutrition and liver health, but it is not a stand-alone diagnostic test."]
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
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?
: Can a low prealbumin result mean I am malnourished?
: Is this test used to check my thyroid?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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