Why Private MD Labs?
90-day money-back guarantee Lab order in minutes Save a trip to the doctor Low prices since 2005 Labs within 2 miles
Adalimumab trough level test for IBD patients monitoring biologic therapy effectiveness

Adalimumab Level Test for IBD Treatment Monitoring

Adalimumab Level for IBD

  • Check your IBD medication effectiveness
  • Monitor ongoing biologic treatment response
  • Screen for returning inflammation symptoms
$1133
First results as soon as overnight*

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

Prescription & all lab fees included

Go directly to the lab, no extra fees

Doctor's guidance included

Easy to understand results

Fast & convenient

Lab visit as quick as 10 mins in & out

All results normal? Get your money back. First-time customers only. File a support ticket titled “Money Back Guarantee” with your order number within 15 days of receiving your results. STD, Sickle Cell, and gift orders aren’t eligible. Full terms apply. guarantee
No questions asked refunds
LegitScript certified

What's this test for?

This test is ideal if you're being treated for inflammatory bowel disease (IBD) with adalimumab and your symptoms haven't fully improved or seem to be coming back. It helps check whether you have enough of the medication in your blood to keep your gut inflammation under control. This is useful if you're dealing with ongoing flares, cramping, diarrhea, or other IBD symptoms despite being on treatment.

What happens after I get my results?

Your adalimumab level will appear in your account along with the reference range so you can see exactly where your number falls. If your level is low, next steps might include reviewing your dosing schedule or timing of injections, and retesting after any changes to see if levels improve. If your number is dangerously low alongside worsening symptoms, seek medical care promptly. You can download the full lab report anytime and use the trends feature to track your levels over multiple tests.

Who should consider this test?

Anyone currently taking adalimumab for IBD who is experiencing a flare-up, incomplete symptom relief, or a loss of response over time should consider this test. It's also useful if you want to confirm you're getting the full benefit from your treatment before assuming the medication isn't working. People early in therapy who want to confirm they've reached a stable, effective level may also benefit.

What symptoms indicate I may need this test?
Signs like returning or worsening abdominal pain, increased diarrhea, blood in your stool, fatigue, or unexplained weight loss while on adalimumab can suggest your drug levels aren't where they need to be. If symptoms that were previously controlled start coming back, that's a common reason to check your level. Persistent inflammation markers noted in other testing can also be a signal to check this.
When will I get my results?
Results are typically ready within about 7 days of your blood draw. You'll receive a notification once they're posted to your secure online account, where you can view and download them at your convenience.
What is adalimumab trough level and why does it matter?
Adalimumab is a biologic medication used to reduce inflammation in IBD, and the 'trough level' means the lowest amount of the drug in your blood right before your next dose. Keeping this level high enough is important because too little medication in your system can allow inflammation to return even if you're taking your doses as prescribed. Testing this level helps confirm whether your current dose and schedule are actually working for you.
What does a low adalimumab level mean?
A low level usually means there isn't enough medication in your body to fully control inflammation, which can lead to returning symptoms. This can happen if you haven't been on the medication long enough to reach a steady level, if your dose or injection schedule needs adjusting, or if your body is clearing the drug faster than expected. Low levels combined with active symptoms are usually a sign that your treatment plan needs a closer look.
What causes low adalimumab levels?
Common causes include not yet being at a steady state early in treatment, a dose that's too low, injections spaced too far apart, or your body clearing the drug unusually fast. Faster clearance can happen if your immune system has developed antibodies against the medication, or from other conditions like kidney disease that cause your body to lose proteins, including medications like adalimumab, more quickly.
How often should I retest my adalimumab level?
Retesting is often useful after any change in your dose or injection schedule, typically once you've had time to reach a new steady state, which is usually after a few doses. If your symptoms are well controlled and your levels were previously in a good range, retesting every few months or whenever symptoms change can help you stay ahead of any dips in effectiveness.
What should I do if my results show a low level?
If your level comes back low, consider reviewing your injection timing and consistency to make sure doses aren't being missed or delayed. Testing for adalimumab antibodies can help clarify whether your body is breaking down the drug faster than normal. If your symptoms are severe or worsening, don't wait — seek medical care right away rather than adjusting treatment on your own.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Get lab order in minutes, results come overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
Adalimumab Trough Level 3.2 mcg/mL
Demo results
Sub-therapeutic (<4.5 mcg/mL) Optimal (7.5-12 mcg/mL) High (>12 mcg/mL)
3.2 mcg/mL

What this means

This result falls below the level generally considered effective for controlling IBD inflammation. A sub-therapeutic level like this may explain returning symptoms even while on treatment. It can be caused by inadequate dosing, spaced-out injections, or faster-than-normal drug clearance.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More advanced tests may take longer due to complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Find a lab near you

Search Quest Diagnostics and LabCorp locations available through Private MD Labs.

Find a lab

Adalimumab Level Test for IBD Treatment Monitoring

  • Check your IBD medication effectiveness
  • Monitor ongoing biologic treatment response
  • Screen for returning inflammation symptoms
$1133
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.
Ask Me Anything

Your 24/7 Personal Lab Guide

Hi. Tell me what you want to check. I'll find the right blood test for you.

Just now
For informational purposes only. Not medical advice.