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Vitamin B1 (Thiamine)

The Thiamine Diphosphate (TDP) test is a vital diagnostic tool for assessing thiamine (Vitamin B1) deficiency, crucial for carbohydrate metabolism, brain function, and nerve health. This test measures TDP levels in whole blood, providing insights into potential deficiencies that can lead to severe symptoms like behavioral changes, gait disturbances, and encephalopathy. It is particularly recommended for individuals with clinical symptoms of deficiency, questionable nutritional status, or those belonging to high-risk groups such as alcoholics, dialysis patients, and individuals with malabsorption issues. However, recent vitamin supplementation or non-fasting status can affect results. The test employs liquid chromatography tandem mass spectrometry (LC-MS/MS) for precise measurement, requiring a whole blood sample collected in an EDTA tube, protected from light, and stored at -20°C. While the test indicates potential deficiency, it is not confirmatory, necessitating further clinical evaluation. Turnaround time is typically 4-6 days, aiding timely diagnosis and management of thiamine deficiency.

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Price of test:£105

The lowest price from the last 30 days: £105

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Awaiting result:

One day

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Collect material:

Blood

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Purpose of the test

Vitamin B1, or thiamine, is vital for carbohydrate metabolism, brain function, and nerve myelination. The test measures thiamine diphosphate (TDP) in blood to assess deficiency, useful for identifying at-risk individuals.

- Order Test If:
- Symptoms like behavioral changes, eye signs, gait issues, delirium, encephalopathy.
- Questionable nutritional status, especially with insulin use.
- High-risk groups: breastfed infants of deficient mothers, low thiamine diet, alcoholics, dialysis patients, chronic diarrhea, malabsorption diseases, HIV/AIDS, post-bariatric surgery, high-dose diuretics, parenteral nutrition.

- Avoid Test If:
- Clinical diagnosis is evident.
- Recent vitamin supplementation.

- Interpretation:
- Compare TDP levels to reference interval.
- Low levels suggest deficiency but need further assessment for cause.

- Factors Affecting Results:
- Non-fasting, recent supplementation, light exposure.

- Methodology:
- Uses LC-MS/MS for precise TDP measurement in whole blood.

- Specimen Requirements:
- Whole blood in EDTA tube, frozen within 24 hours, stored at -20°C.

- Patient Preparation:
- Fast 12-14 hours, avoid supplements 12 hours prior.

Understanding these aspects aids in diagnosing and managing thiamine deficiency effectively.

Who Should Get Tested

The thiamine diphosphate (TDP) test is essential for assessing thiamine deficiency, crucial for carbohydrate metabolism and nerve function. It measures TDP levels in whole blood, identifying those at risk of deficiency, which can cause symptoms like behavioral changes and delirium.

When to Order the Test:
- Clinical Symptoms: Behavioral changes, eye signs, gait disturbances.
- Nutritional Concerns: Patients with questionable nutritional status.
- Special Populations: Alcoholics, dialysis patients, and those with malabsorption issues.

When Not to Order:
- Clinical Diagnosis: Based on response to vitamin B1 supplementation.
- Recent Supplementation: Can affect results.

Blood Test Preparation Guidelines
Time of day
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It is recommended to schedule your appointment for blood tests in the morning hours between 7:00-10:00.
Fasting
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It is recommended to fast for approximately 12 hours before blood sampling. The last meal of the previous day should ideally be consumed around 6:00 p.m. On the day before the test, avoid heavy and fatty meals as well as alcohol.
Stay hydrated
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Drinking water prior to testing can help with sample collection.
Other factors
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Tests should not be performed after a sleepless night or intense physical activity. It is recommended to avoid exercise and stress immediately before blood collection and to not smoke. A short rest is recommended.
Medications and supplements:
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Blood samples should be collected before the morning dose. Some drugs can interfere with test results. Consult with your doctor whether you can delay your dose because of lab tests.
Biotin supplements:
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High doses of biotin supplements can affect test results, causing false elevation or reduction. It's recommended to avoid taking biotin for at least 72 hours before blood collection. If you are taking biotin, inform the personnel collecting the blood so that they can provide specific instructions.
Interpreting Test Results

Understanding test results for thiamine diphosphate (TDP) levels is crucial in assessing vitamin B1 deficiency. This test measures TDP concentration in whole blood, helping identify individuals at risk of deficiency, which can lead to serious symptoms like behavioral changes and encephalopathy.

Key points:
- Interpretation: Compare TDP levels to reference intervals; low levels suggest deficiency.
- Non-Diagnostic: Results indicate potential deficiency but require further clinical evaluation.
- Influencing Factors: Non-fasting, recent supplementation, and light exposure can affect results.
- Special Populations: Consider higher risk groups like alcoholics and those with malabsorption issues.

Price of test:£105

The lowest price from the last 30 days: £105

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