Description
A leptin blood test measures the level of leptin, a hormone primarily produced by fat cells (adipocytes), in the bloodstream. Leptin plays a key role in regulating appetite, metabolism, and energy balance by signaling the brain to reduce hunger and increase energy expenditure.
Purpose of the Test
- Assess body weight regulation: Helps evaluate causes of obesity or unexplained weight loss.
- Diagnose rare genetic disorders: Leptin deficiency or leptin receptor mutations can lead to severe early-onset obesity.
- Investigate metabolic conditions: Can provide insight into insulin resistance, metabolic syndrome, and polycystic ovary syndrome (PCOS).
- Monitor treatment effects: Used in research or clinical settings to assess response to weight-loss therapies or leptin replacement.
Conditions Associated with Abnormal Leptin Levels
- High leptin: Often seen in obesity, as the body becomes resistant to leptin’s signals (leptin resistance). Can also be associated with inflammation or kidney disease.
- Low leptin: May indicate malnutrition, lipodystrophy (loss of fat tissue), or congenital leptin deficiency, which can cause severe obesity and metabolic issues.
How the Test is Performed
- Blood is drawn from a vein, usually in the arm.
- No fasting is generally required, though some providers may recommend fasting if leptin is tested alongside other metabolic markers.
Why a Doctor May Order This Test
- To investigate unexplained obesity or weight loss.
- To evaluate suspected leptin deficiency or leptin resistance.
- As part of research or clinical evaluation of metabolic and endocrine disorders.
Fasting Not Required
The leptin test is primarily used to understand metabolic function and appetite regulation rather than for routine screening.

