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Methionine S-Adenosyltransferase (SAT) Activity in Serum/Plasma

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

This test measures the activity level of methionine S-Adenosyltransferase, an enzyme involved in the production of S-adenosylmethionine, a key molecule for methylation reactions in the body.

Quick summary

["Understanding your SAT activity may help assess metabolic health and potential methylation disorders."]

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

Key facts at a glance

LOINC
2615-3
Short code
MetHgb MFr BldA
Synonyms
MetHgb MFr BldA
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
12
Ref high
17.5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85018
SNOMED
900000000000003004
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Does This Test Measure?

Methionine S-Adenosyltransferase (SAT) is an enzyme that plays a critical role in converting methionine into S-adenosylmethionine (SAM), a compound essential for various biochemical processes, including DNA synthesis, neurotransmitter production, and detoxification. This test evaluates how efficiently your body performs these methylation reactions.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms or conditions linked to methylation disorders, such as chronic fatigue, neurological issues, or certain metabolic syndromes. It may also be part of a broader evaluation for genetic or environmental factors affecting methylation pathways.

How Is the Test Performed?

A blood sample is drawn, typically from a vein in your arm. The sample is processed to measure the enzyme’s activity level in your serum or plasma. The test may be performed using an enzymatic method to detect changes in substrate conversion over time.

What Are Possible Results?

Results are presented as enzyme activity units (often normalized to a standard reference), but specific numeric ranges are not universally defined for this test. Your results will be interpreted in relation to your clinical symptoms and overall health.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A

Specimen: whole-blood

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.

Abnormal SAT activity may indicate underlying issues with methylation, such as deficiencies in SAM production, which can affect how your body processes nutrients, detoxifies toxins, and maintains brain function. Low activity might suggest genetic mutations or conditions like homocystinuria, while elevated levels could point to metabolic imbalances or other systemic disorders. Always discuss results with your healthcare provider for personalized interpretation.

Short name

SAT Activity

Frequently asked questions

What causes low or high SAT activity?
Low SAT activity may be linked to genetic mutations, certain medications, or conditions affecting methionine metabolism. High SAT activity could result from overproduction of methionine or compensatory responses to other metabolic stressors. Lifestyle factors, such as diet or stress, may also influence enzyme activity.
How long does it take to get results?
Test results are typically available within 1 to 3 business days, depending on lab processing times and your healthcare provider’s workflow. Follow-up with your provider to review results and next steps.
Can diet or supplements affect SAT activity?
Yes, dietary intake of methionine, folate, vitamin B12, and other methylation-supporting nutrients can influence SAT activity. Supplements like folic acid or B vitamins may also play a role, but individual responses vary. Always consult your healthcare provider before making changes.
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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