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Methionine and Homocysteine Ratio in Blood (Mass Fraction)

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

This test measures the ratio of methionine to homocysteine in your blood, which can help assess your risk for certain health conditions.

Quick summary

["Understanding your methionine-homocysteine balance may help identify risks for heart disease or other metabolic issues."]

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

Key facts at a glance

LOINC
55942-7
Short code
MetHgb MFr BldCo
Synonyms
MetHgb MFr BldCo
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have a history of cardiovascular disease, high blood pressure, diabetes, or kidney problems. It may also be used to monitor certain genetic conditions or metabolic disorders.

What to Expect Before the Test

No special preparation is typically required, but you may be asked to fast for a few hours before the blood draw. Wear a loose-fitting shirt for easy access to your arm.

What Happens During the Test

A healthcare professional will insert a small needle into a vein in your arm to collect a blood sample. You may feel a slight pinch, but the procedure usually takes only a few minutes.

What the Results Mean

Your results will show the ratio of methionine to homocysteine in your blood. While specific reference ranges vary by lab, higher ratios may be associated with increased risks for heart disease or other vascular conditions.

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.

Elevated homocysteine levels (often assessed indirectly through this ratio) are linked to an increased risk of blood clots, heart disease, and stroke. This test helps evaluate whether your methionine-to-homocysteine balance is within a healthy range, potentially guiding preventive care or lifestyle adjustments.

Short name

Methionine-Homocysteine Ratio

Frequently asked questions

What causes an abnormal methionine-homocysteine ratio?
Several factors may influence this ratio, including genetics, certain medications (like folic acid or vitamin B supplements), kidney disease, thyroid disorders, or conditions affecting metabolism.
How can I lower my methionine-homocysteine ratio if it’s high?
Lifestyle changes such as eating a balanced diet rich in folate, vitamin B6, and vitamin B12, quitting smoking, and managing conditions like diabetes or high blood pressure may help. Always follow your healthcare provider’s advice.
Does this test require fasting?
Sometimes, but it depends on the lab’s protocol. Your provider or lab technician will let you know if fasting is needed before the blood draw.
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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