Vitamin B3, or niacin, is a vital water-soluble vitamin essential for energy release, protein metabolism, and hormone production. It also aids in red blood cell formation and may help prevent diabetes, improve circulation, and alleviate arthritis. Testing for vitamin B3 levels involves measuring nicotinic acid and nicotinamide, using methods like LC-MS/MS and HPLC for accurate results. Plasma or serum specimens, collected in red-top or lavender-top tubes, are required, with a minimum volume of 1 mL. Immediate freezing and light-protected storage are crucial for specimen stability. Deficiency in vitamin B3 can lead to pellagra, characterized by dermatitis, diarrhea, and dementia, while excessive intake can cause toxicity, with symptoms like flushing and nausea. Test results guide diagnosis, with nicotinic acid levels below 5.0 ng/mL indicating deficiency and above suggesting normal or toxic levels. Proper fasting, specimen handling, and understanding of results are essential for effective patient management.
Vitamin B3, or niacin, is a vital water-soluble vitamin essential for energy release, protein metabolism, and hormone production. It also aids in red blood cell formation and may help prevent diabetes, improve circulation, and alleviate arthritis. Testing for vitamin B3 levels involves measuring nicotinic acid and nicotinamide, using methods like LC-MS/MS and HPLC for accurate results. Plasma or serum specimens, collected in red-top or lavender-top tubes, are required, with a minimum volume of 1 mL. Immediate freezing and light-protected storage are crucial for specimen stability. Deficiency in vitamin B3 can lead to pellagra, characterized by dermatitis, diarrhea, and dementia, while excessive intake can cause toxicity, with symptoms like flushing and nausea. Test results guide diagnosis, with nicotinic acid levels below 5.0 ng/mL indicating deficiency and above suggesting normal or toxic levels. Proper fasting, specimen handling, and understanding of results are essential for effective patient management.
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Vitamin B3, or niacin, is vital for energy release, metabolism, and hormone production. Testing for vitamin B3 levels involves measuring nicotinic acid and nicotinamide using LC-MS/MS or HPLC. Accurate testing requires:
- Plasma or serum specimens in red-top or lavender-top tubes.
- A minimum volume of 1 mL per tube.
- Immediate freezing and light-protected storage.
Deficiency can cause pellagra, while excess intake may lead to toxicity. Proper interpretation of results and careful specimen handling are crucial for effective diagnosis and treatment.
Vitamin B3 testing is crucial for diagnosing deficiencies or toxicities. Key individuals who should be tested include:
- Those with symptoms of pellagra, such as dermatitis, diarrhea, and dementia.
- Individuals with inadequate dietary intake of niacin or tryptophan.
- Patients on high-dose niacin supplements for hypercholesterolemia.
- People with symptoms of niacin toxicity, like flushing or dizziness.
Proper specimen collection and storage are vital for accurate results. Testing helps guide treatment, ensuring optimal health outcomes by addressing deficiencies or preventing toxicity.
Understanding test results for vitamin B3 is crucial for diagnosing deficiencies or toxicities. Here's a brief overview:
- Nicotinic Acid (Niacin): Levels below 5.0 ng/mL suggest deficiency; above may indicate normal or toxicity.
- Nicotinamide: Normal range is 5.2-72.1 ng/mL; deviations suggest deficiency or toxicity.
Practical Tips:
- Fasting: Recommended for 4-8 hours before testing.
- Specimen Handling: Avoid hemolysis and lipemia for accurate results.
- Turnaround Time: Typically 3-13 days, depending on the lab.
Accurate interpretation aids in effective patient management.
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