1,25-dihydroxyvitamin D (calcitriol)
This test measures 1,25-dihydroxyvitamin D, the biologically active form of vitamin D. It is used to investigate calcium imbalance, kidney disease and...
This test measures calcium adjusted for albumin to reflect true calcium levels. It is important for bone and parathyroid assessment.
Turnaround time
1-2 days
Biomarkers count
1
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SelectedAdjusted Calcium Blood Test | London Blood Tests |
Measure adjusted calcium levels with our blood test for £29. Assess bone, parathyroid, and metabolic health. UKAS-accredited testing available.
The Adjusted Calcium Blood Test measures calcium levels in the blood after correcting for albumin, providing a more accurate assessment of calcium status. It is commonly used to evaluate bone health, parathyroid function, kidney disease, and metabolic disorders. Testing is performed in a UKAS-accredited laboratory, with an optional GP consultation.
Calcium is an essential mineral involved in bone strength, muscle contraction, nerve signalling, and blood clotting. In the bloodstream, calcium exists in two main forms: bound to proteins (mainly albumin) and free (ionised).
Because low or high albumin levels can falsely alter total calcium results, laboratories calculate adjusted (corrected) calcium to reflect the true biologically active calcium level. This makes adjusted calcium particularly useful in people with chronic illness, liver disease, kidney disease, or abnormal protein levels.
The Adjusted Calcium Test is routinely used to investigate:
Bone metabolism and osteoporosis
Parathyroid gland disorders
Kidney disease
Vitamin D imbalance
Unexplained fatigue, cramps, or bone pain
At London Blood Tests, adjusted calcium is calculated using validated laboratory equations aligned with UK clinical guidelines.
More Accurate Calcium Assessment
Corrects calcium levels for albumin, reducing misleading results.
Supports Bone Health Evaluation
Helps assess risk of osteoporosis and bone mineral disorders.
Assesses Parathyroid Function
Key for diagnosing hyperparathyroidism or hypoparathyroidism.
Monitors Kidney & Metabolic Health
Abnormal calcium is common in kidney and metabolic disorders.
Useful With Vitamin D Testing
Complements vitamin D and phosphate measurements.
Detects Silent Imbalances Early
Calcium abnormalities may exist without obvious symptoms.
Optional GP Consultation for Interpretation
Results can be reviewed with a GP for targeted follow-up.
You may benefit from this test if you experience symptoms or conditions related to calcium imbalance, including:
Bone pain or fragility
Muscle cramps or spasms
Tingling or numbness
Fatigue or weakness
Kidney stones
Abnormal vitamin D levels
Testing is also recommended if you:
Have kidney or liver disease
Have suspected parathyroid disorders
Are monitoring osteoporosis
Take calcium or vitamin D supplements
Have abnormal albumin levels
Because calcium imbalance can affect multiple organ systems, early testing supports preventive care.
Book Your Appointment
Book online or by phone at your chosen clinic.
No fasting required.
Pre-Test Review
Inform the clinician of supplements or relevant medical history.
Sample Collection
A trained phlebotomist collects a venous blood sample.
Takes 5–10 minutes.
Laboratory Analysis
Calcium and albumin are measured in a UKAS-accredited laboratory.
Adjusted Calcium Calculation
Results are corrected for albumin levels.
Results Delivery
Results typically available within 1–2 business days.
Optional GP Consultation
Review results and next steps with a GP if needed.
Book Your Visit
Arrange a phlebotomist home or hotel visit.
Professional Collection
Certified phlebotomist collects your blood sample.
Secure Transport
Sample couriered same day to the laboratory.
Laboratory Testing
Analysis identical to clinic testing.
Results & Follow-Up
Results delivered online, GP review optional.
Adjusted calcium results are reported in mmol/L.
Typical UK reference range:
2.20 – 2.60 mmol/L
Interpretation:
Low adjusted calcium: vitamin D deficiency, hypoparathyroidism, kidney disease
Normal adjusted calcium: balanced calcium regulation
High adjusted calcium: hyperparathyroidism, malignancy, excess supplementation
Results should be interpreted alongside parathyroid hormone (PTH), vitamin D, phosphate, and kidney function tests.
Simple steps to get your results
Choose your test online and book in seconds. Select your preferred clinic location or home visit option.
Attend one of our UK or London clinics, arrange a home nurse visit, or use a finger-prick kit where available.
Your sample is analysed by accredited UK laboratories, with secure results delivered directly to you.
Take control of your health with London Blood Tests
WhatsApp UsFollow these guidelines for accurate results
Where possible, attend your blood test between 7am and 12pm. Please wait until any short-term illness or infection has fully resolved before testing. Avoid intense exercise for 24–48 hours beforehand, as this can affect certain markers.
Fasting is not always required, but some tests may recommend it. If fasting is advised, avoid food for 8–12 hours before your appointment and drink water only. Stay well hydrated, as this helps with sample collection and accuracy.
Continue prescribed medications unless advised otherwise by your clinician. Avoid vitamin, mineral, or biotin supplements for at least 24–48 hours before your test, as these can interfere with results. If you are unsure about any medication or supplement, please let us know before your appointment.
For hormone-related tests, timing within your menstrual cycle may be important. If relevant, follow any specific guidance provided on your test page.
If you have any questions or special circumstances, our team is happy to advise before your appointment.
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