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Xylose 2-Hour Serum/Plasma Concentration after 25 g Xylose Dose

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

This test measures how much xylose (a simple sugar) is present in your blood two hours after you drink a 25-gram dose of xylose, to help assess how well your small intestine absorbs sugars.

Quick summary

["The two-hour xylose level reflects how well the upper small intestine absorbed the sugar, which can help evaluate malabsorption."]

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

Key facts at a glance

LOINC
15002-9
Short code
Xylose 2h p 25 g Xyl PO SerPl-sCnc
Synonyms
Xylose 2h p 25 g Xyl PO SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
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

What This Test Measures

Xylose is a simple sugar that is absorbed mainly in the upper part of the small intestine. After you drink a measured 25-gram dose, a blood sample is taken two hours later and tested to see how much xylose made it into your bloodstream.

Why Your Provider May Order It

Your provider may order this test if you have ongoing diarrhea, weight loss, or other signs that your intestines are not absorbing nutrients properly. Results can help point toward malabsorption and guide further testing.

How the Test Is Done

You will likely be asked to fast for several hours before the test. You then drink the 25-gram xylose solution, and your blood is drawn two hours later. Follow your care team's specific instructions about fasting, medications, and timing.

How to Prepare

Tell your provider about all medicines and supplements you take, since some can affect results. Follow any fasting or diet instructions given to you, and arrive at the scheduled time so the two-hour collection is accurate.

Reference range

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

Specimen: serum

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.

The xylose absorption test helps assess carbohydrate absorption in the small intestine; abnormal results may occur with small-intestine malabsorption or other conditions, but results must be interpreted alongside your symptoms and other tests. Because methods vary between laboratories, your provider will explain what your specific result means.

Short name

D-Xylose Absorption Test (2-Hour)

Frequently asked questions

Does an abnormal result mean I definitely have malabsorption?
No. An abnormal result can suggest a problem with absorption, but it is not a diagnosis by itself. Your provider will consider it together with your symptoms, history, and other tests.
Can my medications affect the test?
Yes. Some medicines and supplements can change the result, so tell your provider about everything you take and follow their instructions.
Will I need to fast before this test?
Often fasting is required, but the exact instructions depend on your care team and laboratory. Follow the specific preparation directions you are given.
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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