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        Homocysteine

        Clinical Biochemistry

        Sample and container requirements

        EDTA Plasma

        Minimum volume required

        500 µL plasma

        Special requirements

        Plasma must be spun down and frozen within 1 hour of venesection.

        Patient preparation

        Must be fasted overnight.

        Sample viability

        Turnaround time

        21 days

        Reference range

        6.7 – 15.2 µmol/L

        Clinical guidance

        Please refer to LabTestsOnlineUK to learn more about homocysteine. https://labtestsonline.org.uk/tests/homocysteine

        Notes

        Deficiencies of the vitamins folic acid (B9), pyridoxine (B6), or B12 (cobalamin) can lead to high homocysteine levels. Supplementation with pyridoxine, folic acid, B12 or trimethylglycine (betaine) reduces the concentration of homocysteine in the bloodstream. Elevations of homocysteine also occur in the rare hereditary disease homocystinuria and in the methylene-tetrahydrofolate-reductase polymorphism genetic traits. The latter is quite common (about 10% of the world population) and it is linked to an increased incidence of thrombosis and cardiovascular disease.

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        This information was last updated on 19 August 2026