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DNA Labs India

Manganese Blood Test

DNA Labs India | ISO 9001:2015 Certified

Manganese Blood Test

Short Name: Mn Blood Test

Also known as: Serum Manganese Test, Blood Manganese Level, Mn Blood Test, Whole Blood Manganese Assay, Manganese ICP-MS Test

Manganese Blood Test test available at DNA Labs India for ₹3,500. Uses ICP-MS (Inductively Coupled Plasma Mass Spectrometry) on Whole Blood samples. Results in Sample collection by 6 PM daily. Digital report available next working day via online portal, email, and WhatsApp.. Free home collection in 300+ cities across India.

Blood TestUnisexAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the Manganese Blood Test is to quantify the concentration of manganese in whole blood to detect both deficiency and excess. This test is essential for evaluating central nervous system symptoms that mimic Parkinson's disease in individuals with occupational manganese exposure. It is also used for therapeutic monitoring in patients with cirrhosis, those on parenteral nutrition, individuals with suspected environmental exposure to manganese, and patients with nutrition-related manganese toxicity. The test further assists in evaluating Behçet's disease and serves as the recommended test for monitoring treatment response.

Test Code
1212
CPT Code
83785
ICD Code
E61.2
Price
₹3,500
Sample Type
Whole Blood
Result Time
Sample collection by 6 PM daily. Digital report available next working day via online portal, email, and WhatsApp.
Fasting Required
No
Method
ICP-MS (Inductively Coupled Plasma Mass Spectrometry)
Step 1

Sample Collection

Patients must refrain from taking any vitamins, mineral supplements, or herbal supplements for at least one (1) week prior to specimen collection. If Gadolinium or Iodine-containing contrast media has been administered (e.g., during MRI or CT scans), specimen collection should be postponed for at least 96 hours. No fasting is required unless instructed otherwise by your physician.

Method: Venipuncture using powderless gloves; metal-free collection tube

Step 2

Laboratory Analysis

Blood is drawn via standard venipuncture technique. The phlebotomist must use powderless gloves to prevent manganese contamination. A 4 mL (2 mL minimum) whole blood sample is collected into a metal-free Royal Blue Top (K2EDTA) tube. Proper labelling and chain of custody must be maintained.

Step 3

Report Delivery

After collection, gently invert the tube 8–10 times. Store and ship the sample refrigerated (2–8°C). Do NOT freeze the sample. The sample is stable at room temperature for up to 6 hours and in a refrigerator for up to 48 hours. Results are typically available the next working day after sample receipt by 6 PM.

Timeline: Sample collection by 6 PM daily. Digital report available next working day via online portal, email, and WhatsApp.

Patient Instructions

1
Before the Test:Avoid all vitamin, mineral, and herbal supplements for at least one week before sample collection. If you have recently undergone an MRI or CT scan with Gadolinium or Iodine contrast, wait at least 96 hours before giving your sample. No fasting is required. Inform your physician about any medications, occupational exposures, or recent medical procedures.
2
During the Test:A trained phlebotomist will draw approximately 4 mL of blood from a vein in your arm using a sterile needle. The blood is collected into a metal-free Royal Blue Top tube to prevent contamination. The procedure typically takes 5–10 minutes. You may feel a brief prick when the needle is inserted.
3
After the Test:After blood collection, gentle pressure is applied to the puncture site with a cotton ball or bandage. Minor bruising may occur and typically resolves within a few days. You can resume normal activities immediately. Your sample will be transported refrigerated to our NABL-accredited laboratory for ICP-MS analysis.

About This Test

Who Should Get This Test

The primary purpose of the Manganese Blood Test is to quantify the concentration of manganese in whole blood to detect both deficiency and excess. This test is essential for evaluating central nervous system symptoms that mimic Parkinson's disease in individuals with occupational manganese exposure. It is also used for therapeutic monitoring in patients with cirrhosis, those on parenteral nutrition, individuals with suspected environmental exposure to manganese, and patients with nutrition-related manganese toxicity. The test further assists in evaluating Behçet's disease and serves as the recommended test for monitoring treatment response.

How to Prepare

  • Avoid vitamins, mineral supplements, and herbal supplements for one (1) week before the test
  • If Gadolinium or Iodine contrast media was administered, wait at least 96 hours before collection
  • Use only powderless gloves during specimen collection to prevent contamination
  • Collect 4 mL (2 mL minimum) whole blood in a metal-free Royal Blue Top (K2EDTA) tube
  • Invert the tube gently 8–10 times after collection
  • Ship refrigerated – do NOT freeze
  • Label the specimen correctly with patient details and collection time

Doctor's Notes

Reviewed by — MBBS, MD (Biochemistry) · Reg. No. 21504

"Manganese is an essential trace element required as a cofactor for enzymes such as manganese superoxide dismutase (MnSOD), arginase, and pyruvate carboxylase. While dietary deficiency is uncommon, occupational exposure in mining, welding, and ferroalloy industries can lead to manganism—a condition clinically resembling Parkinson's disease. Blood manganese levels measured by ICP-MS provide a reliable assessment. Patients presenting with unexplained neurological symptoms, extrapyramidal features, or a history of industrial exposure should be evaluated promptly. Therapeutic monitoring in patients with cirrhosis or on long-term parenteral nutrition is also warranted."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole Blood
Sample Volume4 mL (2 mL minimum)
ContainerMetal-Free Royal Blue Top (K2EDTA) tube
Collection MethodVenipuncture using powderless gloves; metal-free collection tube

Sample Stability

Room Temperature (20–25°C): Up to 6 hours
Refrigerated (2–8°C): Up to 48 hours
Frozen: Not Applicable (NA)
Sample Rejection Criteria:
  • Sample collected in a non-metal-free tube (standard EDTA or heparin tube)
  • Hemolyzed specimen
  • Sample collected less than 96 hours after Gadolinium or Iodine contrast media administration
  • Sample collected within one week of vitamin, mineral, or herbal supplement use
  • Frozen specimen
  • Sample received after 48 hours of collection without refrigeration
  • Insufficient sample volume (less than 2 mL)
  • Contaminated or improperly labelled specimen

Understanding Your Results

Manganese blood levels should be interpreted in the context of the patient's clinical presentation, occupational history, dietary intake, liver function, and medication use. Normal whole blood manganese levels typically range from 4.0 to 15.0 µg/L. Results outside this range warrant further clinical evaluation.
📊

Low Manganese – May indicate nutritional deficiency, malabsorption, or inadequate dietary intake. Can be associated with impaired wound healing, bone abnormalities, metabolic disturbances, and fatigue. Clinical correlation with dietary history and gastrointestinal evaluation is recommended.

Range: Below 4.0 µg/L

📊

Normal Range – Manganese levels are within the physiological reference range. No immediate deficiency or toxicity concern based on this parameter alone.

Range: 4.0 – 15.0 µg/L

📊

Elevated Manganese – May suggest early or mild overexposure. Repeat testing and occupational/environmental exposure assessment are recommended. Monitor for early neurological symptoms.

Range: 15.1 – 25.0 µg/L

📊

Significantly Elevated Manganese – Strongly suggestive of manganese toxicity (manganism). Associated with neurological symptoms resembling Parkinson's disease including tremor, rigidity, gait disturbance, and cognitive impairment. Immediate clinical evaluation, cessation of exposure, and neuroimaging (MRI brain) are recommended. Consultation with a neurologist and occupational medicine specialist is advised.

Range: Above 25.0 µg/L

⚠️ When to Consult a Doctor:

Consult your doctor if your manganese blood test results are outside the normal range (below 4.0 µg/L or above 15.0 µg/L), or if you experience any symptoms such as tremors, muscle stiffness, difficulty walking, memory problems, fatigue, loss of appetite, or impaired wound healing. If you have a history of occupational exposure to manganese (mining, welding, battery manufacturing) or chronic liver disease, seek medical evaluation even with borderline results. Early detection and intervention can prevent long-term neurological damage.

Limitations

  • Whole blood manganese reflects recent exposure and may not represent tissue manganese stores
  • Results should be interpreted in conjunction with clinical history, occupational exposure, and imaging findings
  • Manganese levels may vary with dietary intake and supplement use
  • This test does not differentiate between intracellular and extracellular manganese
  • Single-point measurements may not capture chronic low-level exposure

Risks & Considerations

  • Minor bruising or swelling at the venipuncture site
  • Slight pain or discomfort during needle insertion
  • Very rare risk of infection at the puncture site
  • Fainting or dizziness in individuals sensitive to blood draws

Interfering Factors

  • Recent intake of vitamin, mineral, or herbal supplements within one week of collection
  • Administration of Gadolinium or Iodine-containing contrast media within 96 hours of specimen collection
  • Contamination from non-metal-free collection equipment or tubes
  • Use of non-powderless gloves during specimen collection
  • Hemolysis of the blood sample
  • Contamination from external manganese sources (dust, industrial particles on skin)

Compare With Similar Tests

TestManganese Blood TestHeavy Metal ProfileSerum Copper TestLiver Function Test (LFT)MRI Brain
ComparisonManganese Blood Test

Frequently Asked Questions

What is a Manganese Blood Test?
A Manganese Blood Test measures the concentration of manganese in your whole blood using ICP-MS (Inductively Coupled Plasma Mass Spectrometry). It helps detect manganese deficiency or toxicity, which can affect the nervous system, bones, metabolism, and wound healing.
Why is the Manganese Blood Test important?
This test is important because manganese is an essential trace element, but both deficiency and excess can cause serious health problems. Deficiency can lead to fatigue, impaired wound healing, and growth issues, while excess—common in industrial workers—can cause a Parkinson-like neurological condition called manganism.
What is the cost of the Manganese Blood Test at DNA Labs India?
The Manganese Blood Test at DNA Labs India costs ?3500 (INR). This price includes free home sample collection across India, ICP-MS laboratory analysis, and digital report delivery via online portal, email, and WhatsApp.
What is the normal range of manganese in blood?
The normal reference range for whole blood manganese is typically 4.0 to 15.0 µg/L (micrograms per litre). Values below this range may indicate deficiency, while values above may suggest toxicity or excessive exposure. Reference ranges may vary slightly between laboratories.
Do I need to fast before the Manganese Blood Test?
No, fasting is not required for the Manganese Blood Test. However, you must avoid all vitamin, mineral, and herbal supplements for at least one (1) week before the test. If you have received Gadolinium or Iodine contrast media, wait at least 96 hours before sample collection.
What should I avoid before the Manganese Blood Test?
Avoid all vitamin supplements, mineral supplements, and herbal supplements for at least one week before the test. Also, if you have had an MRI or CT scan with Gadolinium or Iodine-containing contrast media, wait at least 96 hours before giving your blood sample.
Who should get a Manganese Blood Test?
This test is recommended for individuals with occupational manganese exposure (mining, welding, battery manufacturing), neurological symptoms resembling Parkinson's disease, chronic liver disease or cirrhosis, those on long-term parenteral nutrition, suspected environmental exposure, or symptoms of manganese deficiency such as fatigue, impaired wound healing, and bone abnormalities.
What are the symptoms of manganese deficiency?
Symptoms of manganese deficiency include weakness and fatigue, loss of appetite, difficulty in wound healing, impaired growth and development in children, irregular heartbeat, bone abnormalities, skin rash, and changes in hair and nail health.
What are the symptoms of manganese toxicity (manganism)?
Symptoms of manganese toxicity include tremors, muscle rigidity, slowness of movement (bradykinesia), difficulty walking, speech disturbances, cognitive impairment, mood changes, and psychiatric symptoms. These closely resemble Parkinson's disease and are sometimes called 'manganese madness' in severe cases.
How is the Manganese Blood Test performed?
A trained phlebotomist collects 4 mL of whole blood via venipuncture using a metal-free Royal Blue Top (K2EDTA) tube and powderless gloves to prevent contamination. The sample is refrigerated and sent to the laboratory where manganese levels are measured using ICP-MS technology.
How long does it take to get the Manganese Blood Test results?
If your sample is collected by 6 PM daily, the report is typically available the next working day. Digital reports are delivered via the online portal, email, and WhatsApp for your convenience.
Is home sample collection available for the Manganese Blood Test?
Yes, DNA Labs India offers free home sample collection for the Manganese Blood Test across India, including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more cities. You can book online and a trained phlebotomist will visit your home with the required metal-free collection equipment.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.
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