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Lithium in Tissues (Mass Concentration)

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of lithium present in a sample of your body tissue, often used to assess lithium exposure or distribution in certain medical conditions.

Quick summary

["Lithium in tissues helps monitor how the drug is absorbed and retained in your body."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
18238-6
Short code
Lithium Tiss-mCnt
Synonyms
Lithium Tiss-mCnt
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.6
Ref high
1.2
Critical range
— – 1.6 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 order this test if you’re taking lithium medication to treat conditions like bipolar disorder or certain neurological disorders. It can help check if lithium levels in your tissues are within safe ranges or if adjustments to your treatment are needed.

What to Expect Before the Test

No special preparation is typically required. If you’re taking lithium, you may be asked to stop it temporarily before the test, depending on your doctor’s instructions. Your provider will discuss this with you.

What the Results Mean

Tissue lithium levels can vary widely and are not directly compared to standard blood or urine ranges. Results help determine if lithium is accumulating in your body tissues, which could indicate toxicity or inadequate dosing.

Common Uses and Conditions

This test is often used in cases of suspected lithium toxicity, monitoring long-term lithium therapy, or evaluating unusual symptoms (like muscle weakness or confusion) that may not align with blood or urine levels alone.

Reference range

Therapeutic: 0.6-1.2 mmol/LN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Lithium tissue levels provide a broader picture of lithium distribution in the body, which can be critical for diagnosing or managing conditions where lithium accumulates in tissues. High levels may signal overdose or improper dosing, while low levels might indicate insufficient therapeutic effect.

Short name

Lithium Level in Body Tissue

Frequently asked questions

How is lithium measured in tissues?
Lithium is measured using a specialized laboratory technique that extracts and quantifies the drug from your tissue sample, often via mass spectrometry or a similar precise method. This process ensures accurate detection of lithium at very low concentrations.
Will I need to fast before this test?
No fasting is required for this test, but your doctor may ask you to stop lithium medication temporarily to avoid interference with results. Always follow your healthcare provider’s specific instructions.
Can lithium levels in tissues differ from blood or urine tests?
Yes, tissue levels can differ from blood or urine because lithium distributes unevenly in the body. Tissue testing helps assess deeper absorption and retention, which may not be captured by standard blood or urine measurements alone.
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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 17, 2026. · Read our editorial policy