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D-xylose absorption test (2-hour serum concentration)

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

This test measures how well your body absorbs the sugar D-xylose, which helps assess intestinal function and malabsorption disorders.

Quick summary

["Checks if your intestines are absorbing nutrients properly."]

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

Key facts at a glance

LOINC
22625-8
Short code
Xylose 2h p Xyl PO Bld-sCnc
Synonyms
Xylose 2h p Xyl PO Bld-sCnc
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 This Test Is Done

Your doctor may recommend this test if you have symptoms like chronic diarrhea, unexplained weight loss, or signs of malabsorption (such as vitamin deficiencies). It can also be used to diagnose conditions like celiac disease, short bowel syndrome, or intestinal infections.

How the Test Works

You’ll drink a solution containing D-xylose, and your blood will be drawn 2 hours later to measure the amount of xylose in your serum. This helps determine how efficiently your intestines absorbed the sugar.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for a few hours before the test to ensure accurate results. Wear comfortable clothing and plan for a few hours to complete the process.

What to Expect During the Test

You’ll drink a sweet-tasting liquid containing D-xylose, and a blood sample will be taken 2 hours later. The process is quick and painless, similar to a routine blood draw.

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.

Low xylose levels in your blood after 2 hours suggest poor intestinal absorption, which may indicate malabsorption syndromes, inflammatory bowel disease, or other gastrointestinal issues. Normal results generally mean your intestines are functioning well.

Short name

D-Xylose Absorption Test

Frequently asked questions

What does a low result mean?
A low result may indicate problems with nutrient absorption in your intestines, which could be due to conditions like celiac disease, Crohn’s disease, or other gastrointestinal disorders. Your doctor will discuss further testing or treatment options based on your symptoms and results.
What does a high result mean?
A high result is less common but may suggest overabsorption or a rare metabolic condition. Your doctor will review your overall health and other test results to determine if additional evaluation is needed.
How often is this test repeated?
This test is typically done once, but your doctor may recommend follow-up testing if initial results are abnormal or if symptoms persist. Additional tests may include stool studies, endoscopy, or genetic screening.
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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