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Thrombopoietin (TPO) – Serum or Plasma Concentration

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

This test measures the level of thrombopoietin, a protein that plays a key role in stimulating the production of platelets, the blood cells responsible for clotting.

Quick summary

["Thrombopoietin helps regulate platelet counts and may be checked if you have low platelet levels or bleeding disorders."]

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

Key facts at a glance

LOINC
43237-7
Short code
Thrombopoietin PPP IA-mCnc
Synonyms
Thrombopoietin PPP IA-mCnc
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 like easy bruising, prolonged bleeding, or unusually low platelet counts. It can also be used to monitor conditions affecting platelet production, such as certain cancers or blood disorders, or to assess response to treatments like chemotherapy or medications that lower platelet counts.

How the Test Works

Thrombopoietin is measured using an immunoassay method, which detects the protein in your blood sample. This test helps assess whether your body is producing enough of this protein to maintain healthy platelet levels.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is then separated into serum (if clotted) or plasma (if anticoagulated) for testing. The sample is sent to a lab for analysis.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to avoid certain medications or supplements that could affect platelet counts. If you have a history of bleeding disorders or are on blood-thinning medications, let your provider know.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated thrombopoietin levels may indicate conditions like liver disease (where the liver produces excess TPO) or certain cancers affecting platelet production. Low levels can suggest deficiencies in platelet production, such as myelodysplastic syndromes or severe infections. Monitoring TPO levels helps guide treatment decisions for conditions like chemotherapy-induced thrombocytopenia.

Short name

TPO Level

Frequently asked questions

What Does a High or Low TPO Level Mean?
A high TPO level might suggest your body is trying to compensate for low platelet counts, often seen in liver disease or certain cancers. A low TPO level could indicate impaired platelet production, which may require further evaluation to rule out underlying conditions like bone marrow disorders.
How Often Will I Need This Test?
The frequency depends on your medical condition and treatment plan. Your healthcare provider will determine how often this test should be repeated, whether during monitoring of a current condition or as part of routine follow-up.
Can I Take Anything Before the Test?
Generally, no special preparation is needed, but avoid medications or supplements that may affect platelet counts, such as certain pain relievers or herbal supplements, unless directed by your provider.
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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