Prealbumin Blood Test

The prealbumin blood test, also known as the transthyretin (TTR) test, is a laboratory test used to measure the level of prealbumin in the blood.

What is Prealbumin?

Prealbumin, also known as transthyretin, is a protein produced by the liver and secreted into the blood. It plays a crucial role in transporting thyroxine (T4) and retinol-binding protein (RBP) in the blood.

Purpose of the Test

The prealbumin blood test is used to:

  • Evaluate nutritional status, particularly in patients with malnutrition or those at risk of malnutrition
  • Monitor the effectiveness of nutritional therapy
  • Assess liver function and detect liver disease
  • Diagnose and monitor certain medical conditions, such as thyroid disorders and amyloidosis

How the Test is Performed

A blood sample is collected from a vein in the arm using a needle and syringe. The sample is then sent to a laboratory for analysis.

Interpretation of Results

The normal range for prealbumin levels in the blood varies depending on the laboratory and the individual's age, sex, and nutritional status. Generally, a normal prealbumin level ranges from 15 to 35 mg/dL.

Abnormal results may indicate:

Limitations and Considerations

The prealbumin blood test has some limitations and considerations:

  • Prealbumin levels can be influenced by various factors, such as inflammation, infection, and certain medications
  • The test may not be suitable for patients with certain medical conditions, such as kidney disease or nephrotic syndrome
  • Results should be interpreted in conjunction with other laboratory tests and clinical evaluations to ensure accurate diagnosis and treatment

Reference Range

The reference range for prealbumin levels may vary depending on the laboratory and the individual's age, sex, and nutritional status. The following are general reference ranges:

  • Newborns: 10-20 mg/dL
  • Infants: 15-30 mg/dL
  • Children: 20-40 mg/dL
  • Adults: 15-35 mg/dL
  • Elderly: 10-30 mg/dL

Frequently Asked Questions (FAQs)

What is a Prealbumin blood test?
Measures prealbumin levels in the blood, also known as transthyretin.

Why is the Prealbumin blood test ordered?
To assess nutritional status and liver function, or to monitor certain medical conditions.

What does prealbumin measure in the body?
Visually, it measures protein levels, reflecting overall nutrition and possibly liver health.

Is fasting required before a Prealbumin blood test?
Typically not required, but may be recommended in some cases.

How is the Prealbumin blood test performed?
Through a blood sample drawn from a vein, usually in the arm.

What are normal prealbumin levels in the blood?
Generally, 15-30 mg/dL or 150-300 mg/L, but can vary by lab.

What does an abnormal result indicate?
May indicate malnutrition, liver disease, or other medical conditions, but results should be interpreted by a healthcare professional.

Are there any risks associated with the Prealbumin blood test?
Minimal risks, such as bruising or bleeding at the needle site.

How long does it usually take to get results from a Prealbumin blood test?
Typically several hours to a few days, depending on the laboratory.

Who interprets the results of a Prealbumin blood test?
A healthcare professional, such as a doctor or nurse practitioner.

Article last updated on: 18th October 2025.
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