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Serum Lactate (Lactate Dehydrogenase Activity)

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

This test measures the level of lactate in your blood, which is a byproduct of energy production when your body doesn’t have enough oxygen. High levels may indicate conditions like low blood oxygen, heart problems, or metabolic disorders.

Quick summary

["Lactate levels help doctors assess how well your body is handling energy and oxygen use."]

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

Key facts at a glance

LOINC
97759-5
Short code
Mg+Phos+Lact Pnl SerPl
Synonyms
Mg+Phos+Lact Pnl SerPl
Category
electrolyte
Sample
serum
Container
Red-top tube (SST)
Units
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 have symptoms like rapid breathing, confusion, or fatigue, or if you’re at risk for conditions like heart failure, stroke, or severe infections. It’s also used during surgeries or procedures where oxygen supply might be temporarily reduced.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before the blood draw. Tell your doctor about any medications you’re taking, as some can affect results.

How the Test Works

A small needle is used to draw blood from a vein in your arm. The blood sample is then sent to a lab where enzymes break down lactate to measure its concentration.

What the Results Mean

Results are typically reported in milligrams per deciliter (mg/dL). Higher than normal levels may signal poor oxygen delivery or metabolic issues, while lower levels might indicate overuse of glucose for energy.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated lactate levels can signal conditions like sepsis, heart or lung disease, or severe dehydration. Low levels may occur in poorly controlled diabetes or during intense exercise. Always discuss results with your doctor for personalized interpretation.

Short name

Serum Lactate

Frequently asked questions

What causes elevated lactate levels?
Elevated lactate can result from conditions that limit oxygen delivery (e.g., heart or lung problems), infections, or metabolic disorders. It can also appear during intense physical activity or in certain medications.
What does it mean if my lactate level is low?
Low lactate levels might suggest your body is efficiently using glucose for energy, but they can also occur in conditions like poorly controlled diabetes or during strenuous exercise. Your doctor will consider your overall health and symptoms.
Can lifestyle changes affect this test?
Yes, diet, exercise, and hydration can influence lactate levels. Avoiding strenuous activity before testing and staying well-hydrated may help get more accurate results.
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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