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Pyruvate concentration in serum/plasma (mass concentration)

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

This test measures the amount of pyruvate, a chemical produced when your body breaks down carbohydrates for energy. It can help assess metabolic health, especially in conditions affecting how your body uses glucose.

Quick summary

["Pyruvate levels may indicate metabolic issues or how efficiently your body converts food into energy."]

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

Key facts at a glance

LOINC
27968-7
Short code
Pyruvate 2h p chal Bld-mCnc
Synonyms
Pyruvate 2h p chal Bld-mCnc
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
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 Is This Test Done?

Your healthcare provider may order this test if you have symptoms like fatigue, muscle weakness, or unexplained weight changes. It could also be part of a broader evaluation for metabolic disorders, such as certain genetic conditions or diabetes-related complications.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The sample is then sent to a lab for analysis using a high-performance liquid chromatography (HPLC) method to measure pyruvate levels.

What to Expect Before or After the Test

No special preparation is typically needed, but you may be asked to fast for a few hours if your test is part of a metabolic study. After drawing blood, you can resume normal activities. Results may take several days to weeks to receive.

Common Conditions Monitored

Elevated or low pyruvate levels can signal metabolic disorders, such as pyruvate dehydrogenase deficiency or other inherited metabolic diseases. It may also be monitored in patients undergoing treatment for conditions affecting glucose metabolism.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Pyruvate is an intermediate in cellular respiration. Abnormal levels may reflect impaired energy production pathways, particularly in conditions affecting mitochondrial function or carbohydrate metabolism. This test is often used in specialized metabolic evaluations.

Short name

Pyruvate Level

Frequently asked questions

What causes pyruvate levels to be tested?
Pyruvate levels are tested primarily when there is suspicion of a metabolic disorder, unexplained fatigue, or symptoms related to glucose metabolism issues. Your doctor may also order it as part of a genetic or biochemical evaluation.
What do abnormal results mean?
Abnormally high pyruvate levels may indicate problems with how your body converts food into energy, such as certain genetic disorders. Abnormally low levels might suggest other metabolic or systemic issues, but interpretation depends on clinical context and other test results.
How often should I get this test?
The frequency depends on your health condition and doctor’s recommendations. Some patients with metabolic disorders may need regular monitoring, while others may only need it occasionally or as part of a specific evaluation.
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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