Test ID NEFA Free Fatty Acids, Total, Serum
Specimen Required
Patient Preparation:
1. Fasting-overnight (12-14 hours).
2. Patient must not consume any alcohol for 24 hours before the specimen is collected.
3. Patient should not be receiving therapeutic heparin.
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 1 mL
Collection Instructions:
1. Centrifuge within 45 minutes of collection and aliquot 1 mL of serum into a plastic vial.
2. Immediately freeze specimen.
Forms
If not ordering electronically, complete, print, and send a Cardiovascular Test Request Form (T724) with the specimen.
Secondary ID
606892Useful For
Evaluation of metabolic status of patients with endocrinopathies
Monitoring of control of diabetes mellitus
Monitoring the effects of therapeutic diet/exercise lifestyle changes
Method Name
Enzymatic Colorimetric
Reporting Name
Free Fatty Acids, Total, SSpecimen Type
SerumSpecimen Minimum Volume
0.5 mL
Specimen Stability Information
Specimen Type | Temperature | Time |
---|---|---|
Serum | Frozen | 7 days |
Clinical Information
Elevated serum concentrations of nonesterified fatty acids (NEFA) are associated with cardiovascular disease, metabolic syndrome, obesity, and type 2 diabetes mellitus. NEFA are causally linked with insulin resistance and inflammation of vascular endothelium.
Reference Values
≥18 years: 0.00-0.72 mmol/L
Reference values have not been established for patients who are <18 years of age.
Cautions
Patients receiving therapeutic heparin are unsuitable for this analysis. Heparin causes the release of free fatty acids by stimulating the activity of lipoprotein lipase, which causes triglycerides associated with blood lipoproteins to release free fatty acids.
In order to eliminate the generation of free fatty acids from triglycerides by serum lipases (causing erroneous elevations), serum should be frozen as soon as possible after it is collected and shipped frozen.
Day(s) Performed
Monday through Friday
Report Available
1 to 3 daysPerforming Laboratory

Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
82725