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Thiamine (vitamin B1) test

Also called: Vitamin B1 test

A thiamine test checks for low vitamin B1, which can cause confusion, unsteady walking, and heart problems.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Treatment often starts right away without waiting for results when deficiency is suspected.

Why it's done

  • Heavy drinking, poor nutrition, or weight-loss surgery
  • Confusion or unsteady walking

Getting ready and what happens

  • None.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Low

Treated with thiamine, sometimes by IV.

When a result needs quick action

Call 911Confusion, trouble walking, or abnormal eye movements, especially with heavy drinking

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Sources

Last updated 2026-11-13.