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Metabolite Profile: Methionine and Homocysteine (Serum/Plasma Concentrations)

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

This test measures the amounts of methionine and homocysteine in your blood, which are important for metabolism and may help assess risks related to heart health and certain genetic conditions.

Quick summary

["Your blood levels of methionine and homocysteine can provide insights into your metabolic health and potential risks for long-term conditions."]

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

Key facts at a glance

LOINC
81626-4
Short code
MTX-PG3 RBC-sCnc
Synonyms
MTX-PG3 RBC-sCnc
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85041
SNOMED
900000000000003001
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 family history of heart disease, stroke, or certain genetic disorders. It could also be used to monitor conditions like liver disease, kidney problems, or as part of routine metabolic screening, especially if you have symptoms like fatigue, numbness, or unexplained bruising.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it involves drawing blood from a vein. Stay hydrated unless instructed otherwise. Avoid smoking or consuming alcohol for a few hours before the blood draw.

How the Test Works

A small sample of your blood is collected and analyzed using advanced laboratory techniques to measure the precise amounts of methionine and homocysteine. These measurements help assess your metabolic health and identify potential risks.

What the Results Mean

High levels of homocysteine are often linked to increased risks of heart disease and blood vessel damage, while elevated methionine levels may indicate metabolic imbalances. Your results will be compared to general reference ranges provided by your healthcare provider to guide further action.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Methionine and Homocysteine Levels

Frequently asked questions

High homocysteine levels are associated with an increased risk of cardiovascular diseases, including heart attacks and strokes. Elevated methionine levels may suggest underlying metabolic disorders or deficiencies in certain vitamins (like B6, B9, or B12), which are essential for breaking down these compounds.
This test is not a standalone diagnosis but can help identify individuals at higher risk for conditions like vascular disease or genetic disorders. If your results are outside normal ranges, your provider may recommend additional tests or lifestyle changes to manage your health.
What causes elevated homocysteine or methionine levels?
Several factors can influence these levels, including genetics, certain medications (like some antidepressants or diuretics), kidney disease, liver problems, or deficiencies in vitamins B6, B9 (folate), or B12. Lifestyle factors, such as smoking, alcohol use, or poor diet, may also play a role.
How long does it take to get my results?
Results are typically available within 1–3 business days, depending on your lab. Your healthcare provider will discuss the findings with you during your follow-up visit, so don’t hesitate to ask if you have questions about the process or interpretation.
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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