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Total Antithrombin Concentration (Serum)

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

This test measures the amount of antithrombin III, a natural protein in your blood that helps prevent blood clots from forming. It’s important for people at risk of clotting or those taking blood thinners.

Quick summary

["Antithrombin III helps regulate blood clotting; low levels may increase clot risk."]

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

Key facts at a glance

LOINC
42950-6
Short code
T canis Ab Titr Spec
Synonyms
T canis Ab Titr Spec
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 Is Done

Your doctor may order this test if you have a history of blood clots, are taking anticoagulant medications, or have conditions like liver disease that can affect protein production. It may also be checked before surgery or during treatment for conditions like disseminated intravascular coagulation (DIC).

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re on blood thinners, check with your doctor first to avoid unusual bleeding. Avoid smoking or caffeine before the draw if instructed by your provider.

How the Test Works

Blood is drawn and sent to a lab where it’s analyzed using an immunoassay method. This test detects the protein antithrombin III in your serum to determine its concentration.

What the Results Mean

Results are compared to a standard range. Low levels may suggest conditions like liver disease, clotting disorders, or exposure to certain medications. High levels could be due to inherited conditions or certain medications. Your doctor will discuss results in the context of your health history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Antithrombin III is a key protein in the blood’s natural anticoagulant system. Low levels can increase the risk of blood clots (thrombosis) and may require monitoring or treatment adjustments. High levels might indicate inherited deficiencies or certain medications, but further evaluation is needed to understand the cause.

Short name

Antithrombin III Level

Frequently asked questions

What causes low antithrombin III levels?
Low levels can be caused by liver disease, certain medications (like heparin or warfarin), or inherited conditions. It may also appear after surgery or trauma. If you’re on blood thinners, your doctor may monitor this test to adjust your treatment.
How long does it take to get results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your doctor will contact you once they’re ready to discuss your results.
Can I eat or drink before this test?
You can eat and drink normally before this test unless your doctor specifies otherwise. No fasting is required for this blood draw.
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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