Cholinesterase (Serum / BChE)
Cholinesterase (Serum / BChE) is a clinical biomarker on the Liver panel, reported in IU/L. Standard reference range: 2673–6592 IU/L. Functional (optimal) range used by integrative practitioners: 3500–6592 IU/L.
What is Cholinesterase (Serum / BChE)?
Serum cholinesterase (butyrylcholinesterase / pseudocholinesterase) is synthesized exclusively by hepatocytes and reflects both hepatic synthetic function and exposure to organophosphate (OP) or carbamate inhibitors. It also serves as a nutritional/anabolic marker, a succinylcholine apnea screening test, and a vagal/cholinergic-tone surrogate. Paradoxical elevation occurs in NAFLD/obesity (fatty-liver-driven enzyme upregulation); suppression occurs in sepsis, COVID cytokine storm, and end-stage liver disease.
Reference ranges
| Range type | Value (IU/L) | Source |
|---|---|---|
| Standard (lab) | 2673–6592 | Typical Quest / LabCorp adult reference |
| Functional (optimal) | 3500–6592 | Integrative / functional medicine consensus |
How SomaVue interprets Cholinesterase (Serum / BChE)
SomaVue maps every result for Cholinesterase (Serum / BChE) against four clinical lenses — nutrient cofactors, toxin exposure, infection drivers, and circadian/hormonal context — and connects each interpretation to specific peer-reviewed citations. Pre-mapped clinical reasoning and cross-marker pattern detection are available inside the practitioner workspace.
See the full interpretation
Upload a patient PDF or enter values manually to see the four-lens analysis, cross-marker patterns, and cited evidence for Cholinesterase (Serum / BChE) and 205 other markers.
Try it freeEducational reference only. Reference ranges vary by laboratory, assay method, age, sex, and clinical context. Functional ranges represent integrative-medicine consensus and are not regulatory thresholds. SomaVue does not diagnose, treat, mitigate, or prevent disease. Always consult a licensed healthcare provider.