Skip to content

: Prealbumin (Transthyretin) [Mass Concentration] in Serum or Plasma by Immunoassay

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

: This test measures the amount of prealbumin, also called transthyretin, in your blood. Prealbumin is a protein made by the liver that helps carry thyroid hormones and vitamin A, and its level can reflect your recent nutritional status.

Quick summary

[": A prealbumin test gives your care team a snapshot of your recent protein nutrition and liver function."]

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

Key facts at a glance

LOINC
58985-3
Short code
11DC pre chal SerPl-mCnc
Synonyms
11DC pre chal SerPl-mCnc
Category
hormone
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

: What Is Prealbumin?

: Prealbumin, now more often called transthyretin, is a protein produced by the liver and released into the bloodstream. It transports thyroid hormones and vitamin A (retinol) through the body. Because it has a short lifespan in the blood compared with many other proteins, its level can change relatively quickly, which is why it is sometimes used to help assess short-term nutritional status.

: Why Might Your Doctor Order This Test?

: Your healthcare provider may order a prealbumin test to help evaluate nutritional status, especially when there is concern about protein deficiency or malnutrition. It may also be used to help monitor how well a person is responding to nutritional support or to look for signs of liver or inflammatory conditions. Results are always interpreted alongside your medical history, physical exam, and other tests.

: How the Sample Is Collected

: This test uses a small sample of blood, usually drawn from a vein in your arm. The specimen is serum or plasma, and the laboratory measures prealbumin using an immunoassay method. In most cases no special preparation is needed, though your provider may give you specific instructions if other tests are being done at the same time.

: What the Results Can Mean

: Prealbumin levels can be influenced by many factors, including recent food intake, inflammation or infection, liver disease, kidney disease, and thyroid problems. Because of this, a single result is not a diagnosis on its own. Your provider will consider the result together with your overall health, other lab values, and your clinical situation. Do not change your diet or medications based on a result without talking to your care team.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: Prealbumin

Frequently asked questions

: Do I need to fast before a prealbumin test?
: Fasting is not routinely required for a prealbumin test, but your provider may ask you to fast if other tests are being drawn at the same time. Follow the specific instructions you are given.
: Does a low prealbumin always mean I am malnourished?
: No. A low prealbumin can occur with malnutrition, but it can also drop during inflammation, infection, liver disease, or other illnesses. Your provider will interpret the result together with your overall health and other tests.
: Can I use a prealbumin result to adjust my diet on my own?
: No. Dietary and medical decisions should be made with your healthcare team, who will consider the result along with your full clinical picture and other laboratory findings.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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