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Nicotinamide (Vitamin B3) Concentration in Blood

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

This test measures the level of nicotinamide, a form of vitamin B3, in your blood. It helps assess vitamin B3 status and may be used in monitoring conditions related to vitamin deficiencies or metabolic health.

Quick summary

["Nicotinamide supports energy production and DNA repair; low levels may indicate nutritional needs or metabolic concerns."]

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

Key facts at a glance

LOINC
27339-1
Short code
Nicotinamide Bld Ql
Synonyms
Nicotinamide Bld Ql
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 symptoms of vitamin B3 deficiency, such as fatigue, skin changes, or neurological issues. It could also be part of a broader evaluation for metabolic disorders, genetic conditions, or nutritional deficiencies. Additionally, it may be used in research or specialized clinical settings to monitor vitamin B3 levels in specific populations.

What to Expect Before the Test

No special preparation is typically required for this test. You may have a blood draw, where a small amount of blood is taken from a vein in your arm. If you are on a blood thinner or have a history of bleeding disorders, let your provider know. If you are pregnant or breastfeeding, discuss this test with your healthcare provider first.

What the Results Mean

Nicotinamide levels can vary based on diet, metabolism, and overall health. While reference ranges are not universally standardized, very low levels may suggest a deficiency, while very high levels could indicate overconsumption or certain metabolic conditions. Your healthcare provider will interpret your results in the context of your medical history and symptoms.

Common Reasons for Testing

This test is less commonly ordered than other vitamin B tests (like B12 or folate) but may be used in niche scenarios, such as evaluating conditions linked to nicotinamide metabolism (e.g., certain genetic disorders), assessing long-term vitamin B3 intake, or monitoring patients on specialized diets or supplements.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Frequently asked questions

What does a low level of nicotinamide mean?
Low nicotinamide levels may indicate a deficiency, which can affect energy production, skin health, and nerve function. Deficiencies are less common than those for other B vitamins but can occur in individuals with poor dietary intake, certain medical conditions, or malabsorption issues. Your provider may recommend dietary changes, supplements, or further testing if needed.
What does a high level of nicotinamide mean?
Elevated nicotinamide levels are less frequently associated with clinical concerns compared to other vitamins. They may be seen in individuals who consume high amounts of supplements or foods rich in vitamin B3. If your levels are high, your provider may investigate potential causes like excessive intake or underlying metabolic conditions.
Is this test covered by insurance?
Coverage for this test depends on your insurance plan and the reason for testing. Some insurance providers may cover it if ordered for a specific medical condition or as part of a comprehensive metabolic evaluation. Always check with your insurance provider or healthcare provider for details on coverage and out-of-pocket costs.
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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