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Protein S (Free) in Plasma

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

This test measures the level of free Protein S, a natural blood protein that helps prevent blood clots by regulating another blood-clotting protein called Protein C. Low levels may increase your risk of clotting.

Quick summary

["Free Protein S helps maintain healthy blood flow by regulating clotting factors."]

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

Key facts at a glance

LOINC
105767-8
Short code
Proteus sp DNA Ct Bld Pos Qn NAA+probe
Synonyms
Proteus sp DNA Ct Bld Pos Qn NAA+probe
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe-amp-tar
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 Is Done

Your healthcare provider may order this test if you have a history of blood clots, certain blood disorders, or conditions that affect how your blood clots, such as antiphospholipid syndrome or protein C or S deficiency. It may also be done as part of routine screening in certain populations or before surgeries that increase clotting risk.

What to Expect Before the Test

You may be asked to fast for 8–12 hours before the test, but this isn’t always required. Bring any medications you’re taking to your appointment. Avoid smoking or consuming alcohol for a few hours beforehand if instructed.

How the Test Is Performed

A blood sample is drawn from a vein in your arm by a healthcare professional. You may feel a small pinch, but it usually doesn’t cause discomfort afterward.

What the Results Mean

Results are typically reported as a ratio or percentage compared to a standard. Low levels of free Protein S may indicate an increased risk of clotting, while normal levels suggest healthy blood-clotting regulation. Your provider will discuss these results with you in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low free Protein S levels are associated with an elevated risk of venous thromboembolism (blood clots in veins) or arterial clots (e.g., heart attacks or strokes). It’s particularly important for patients with inherited or acquired clotting disorders. Regular monitoring may be recommended if you have a history of clotting events or are at high risk.

Short name

Free Protein S Level

Frequently asked questions

What does a low or high free Protein S level mean?
A low free Protein S level means your blood may clot more easily, increasing your risk of clots. A high level is less commonly significant but may warrant further evaluation for underlying conditions.
Does fasting affect this test?
Fasting isn’t always required, but your provider may advise it to ensure accurate results. Always follow their instructions.
How often should I get this test?
Your provider will determine how often you need retesting based on your medical history, risk factors, and treatment plan. Follow-up may be scheduled every few months or as needed.
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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