Understanding Lab Tests for Thiamine Deficiency

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Thiamine deficiency, also known as vitamin B1 deficiency, is a nutritional disorder that can cause a wide range of symptoms including fatigue, irritability, poor memory, sleep disturbances, loss of appetite, and abdominal discomfort. This condition often results from malnutrition, chronic alcohol abuse, or digestive conditions that impair nutrient absorption.

Recommended Test

Vitamin B1 (Thiamine) LC/MS/MS

This advanced test uses liquid chromatography-tandem mass spectrometry (LC/MS/MS) technology to accurately measure thiamine levels in the blood. It provides a definitive diagnosis of thiamine deficiency, which is essential for individuals experiencing symptoms like fatigue, memory problems, irritability, or digestive issues, particularly those with risk factors such as poor nutrition, alcohol abuse, or absorption disorders like Crohn's disease.

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Diagnosing Thiamine Deficiency

Because the symptoms of thiamine deficiency can overlap with many other conditions, accurate diagnosis requires specialized blood testing to measure vitamin B1 levels directly. Early detection is crucial as thiamine deficiency can progress to serious neurological complications if left untreated.

Who Should Consider Testing

Testing for thiamine deficiency may be recommended for individuals with unexplained fatigue, memory issues, or neurological symptoms, especially those with risk factors including chronic alcohol use, malnutrition, eating disorders, or gastrointestinal conditions that affect nutrient absorption such as Crohn's disease or celiac disease.

Important Considerations

The information here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis and treatment.

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