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Carnitine Octanoyl Transferase Activity (Serum/Plasma)

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

This test measures the activity of an enzyme involved in fat metabolism. It helps assess how well your body can transport fatty acids into cells for energy production.

Quick summary

["This test may be used to evaluate metabolic function in conditions affecting fat metabolism or energy production."]

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

Key facts at a glance

LOINC
53176-4
Short code
Octanoylcarn/C2 DBS-sRto
Synonyms
Octanoylcarn/C2 DBS-sRto
Category
chemistry
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 recommend this test if you have symptoms or conditions linked to impaired fat metabolism, such as unexplained muscle weakness, fatigue, or metabolic disorders. It could also be part of a broader evaluation for genetic or inherited metabolic diseases.

What to Expect Before the Test

No special preparation is typically required. You may fast for 8–12 hours before the test if instructed, but always follow your provider’s specific instructions. Bring any medications you’re taking to your appointment.

What the Test Involves

A blood sample will be drawn from a vein in your arm. The sample is collected in a tube and sent to a lab for analysis. The test measures enzyme activity in your serum or plasma.

What the Results Mean

Results are reported as enzyme activity levels, which can help identify abnormalities in fat metabolism. Low or high levels may indicate underlying metabolic issues that need further evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test is primarily used to diagnose or monitor conditions affecting carnitine metabolism, such as primary carnitine deficiency or certain inherited disorders. Abnormal results may prompt additional testing or referrals to specialists like metabolic experts or genetic counselors.

Short name

Carnitine Octanoyl Transferase Activity

Frequently asked questions

How often will I need this test?
The frequency depends on your symptoms, diagnosis, or treatment plan. Your healthcare provider will determine how often to repeat this test based on your individual needs.
What causes abnormal results?
Abnormal results may occur due to genetic mutations, certain medications, or metabolic disorders. If you have a family history of metabolic diseases, this test could be part of preventive screening.
Can I eat or drink anything before this test?
Follow your provider’s instructions—typically, avoid food for 8–12 hours before fasting blood tests, but always confirm with them to avoid unnecessary delays.
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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