Blood Testing

Holotranscobalamin

Holotranscobalamin is the active form of vitamin B12 that your cells can use. Measured in pmol/L in Australia, it shows how well your body absorbs and delivers B12 for energy, cognition, and overall metabolic function. Because it reflects the usable portion of B12, it offers clearer insight than total serum B12 alone.

Keeping holotranscobalamin in a healthy range supports vitality, mental clarity, and long-term metabolic balance. Tracking it early helps you see whether your nutrition and lifestyle provide enough active B12, giving you the chance to adjust before subtle changes in energy or focus appear.

Holotranscobalamin is available in Vively's Full Body Health. Check Book your blood test now for only $374 per test.
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What is Holotranscobalamin?

Holotranscobalamin is the biologically active form of vitamin B12 bound to transcobalamin. It represents the fraction of B12 that is readily available for your cells to use.

Why does it matter for long-term health and wellbeing?

Active B12 supports efficient energy production, cognitive function, and metabolic stability. Measuring holotranscobalamin provides a clearer view of your usable B12 supply, helping you understand how well your daily habits support long-term health.

What is an optimal level of Holotranscobalamin?

  • Laboratory reference range: above 35 pmol/L
  • Vively’s optimal range: above 100 pmol/L.

Staying within or above this range helps maintain adequate availability of active B12 for everyday functioning and long-term metabolic balance.

What influences Holotranscobalamin levels?

Food intake, digestive efficiency, metabolic demand, age, and certain medications can influence active B12 levels. Lifestyle factors, including dietary variety and patterns, also play a role.

What does it mean if Holotranscobalamin is outside the optimal range?

Levels outside the optimal range may indicate that your current nutrition or lifestyle is not providing enough active B12 to support steady energy and metabolic function. This offers a helpful cue to reassess dietary patterns or discuss further testing with a health professional.

How can I support healthy Holotranscobalamin levels?

Eating a varied diet that includes B12-rich foods, supporting digestive health, and regularly tracking your levels help maintain a healthy active B12 status. Consistent monitoring allows you to make timely, informed adjustments based on your body’s needs.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. National Health and Medical Research Council. (2006). Nutrient Reference Values for Australia and New Zealand, including Recommended Dietary Intakes. Commonwealth of Australia. 
  2. National Health and Medical Research Council. (2013). Australian Dietary Guidelines. Canberra: NHMRC.
  3. O’Leary, F., & Samman, S. (2010). Vitamin B12 in health and disease. Nutrients, 2(3), 299–316.
  4. Gibson, R. S. (2005). Principles of Nutritional Assessment (2nd ed.). Oxford University Press.
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Biological Age
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Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
HDL Cholesterol
LDL Cholesterol
Non-HDL Cholesterol
Total Cholesterol
Triglycerides
6 markers

Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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