Homocysteine (Serum)

An amino acid that, when elevated, raises cardiovascular and cognitive risk.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Morning, fasting preferred
best timing
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In short

Homocysteine is an amino acid your body makes as it processes another amino acid called methionine. Normally it is quickly recycled or broken down with the help of B vitamins, mainly folate, vitamin B12, and vitamin B6.

When this processing is sluggish, often due to low B vitamins or a genetic variant, homocysteine builds up in the blood. This serum measurement reflects that level.

Heart & Cholesterol
Reviewed against DGKL reference practice.
Why it matters

Why test this?

A raised homocysteine is linked to higher risk of cardiovascular disease, stroke, and blood clots, and it is often a sign that your B vitamin status or methylation is off. It is also studied in relation to cognitive decline and bone health.

Very high levels can point to inherited metabolic conditions. In most people, a moderately raised level responds to correcting folate, B12, and B6.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Adult guidance values (guidance only, vary by lab):

CategoryHomocysteine
Normalroughly 5 to 15 µmol/L
Moderately raised15 to 30 µmol/L
High> 30 µmol/L

Many preventive clinicians prefer levels below about 10 µmol/L.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

You learn whether your homocysteine is raised, which can flag low B vitamins or a methylation issue and add to your cardiovascular picture. A high result often guides simple, targeted nutrition steps within a personalized action plan.

What affects your level

What can affect this result?

What can skew the result

Delayed separation of serum from cells falsely raises the result, since red cells keep releasing homocysteine. Low folate, B12, or B6, kidney impairment, hypothyroidism, smoking, and some medications raise levels. EDTA plasma processed quickly is analytically preferred over serum.

Best interpreted with

Best read alongside vitamin B12, folate, vitamin B6, and your wider cardiovascular risk markers.

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay or LC-MS/MS
Best timing
Morning, fasting preferred
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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