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Prothrombin G20210A

F2rs1799963hematology
Elevated

One copy of the Prothrombin G20210A variant detected (heterozygous).

You have one copy of the Prothrombin G20210A DNA change.

Associated with roughly a 2–3× increased lifetime risk of venous thromboembolism. Most carriers are asymptomatic.

Your lifetime risk of a dangerous blood clot is roughly 2 to 3 times the average. Most people with one copy never actually experience a clot.

3 caveats1 population2 references

What this means

The G20210A variant sits in the 3' untranslated region of the prothrombin (factor II) gene. It leads to elevated circulating prothrombin and a modest pro-thrombotic tendency. Like Factor V Leiden, it is much more consequential in combination with other risk factors than alone.

This DNA change sits in a control region of the prothrombin gene (also called factor II). It leads to higher levels of prothrombin — a key clotting protein — in your blood, which gently tips your body towards clotting. Like Factor V Leiden, it matters much more when combined with other risk factors (surgery, pregnancy, hormonal contraceptives, long flights) than on its own.

Caveats

  • Most carriers never experience a clotting event.
  • Combining this with Factor V Leiden or oestrogen-containing contraceptives meaningfully changes the risk picture.
  • Anticoagulation isn't routinely recommended for asymptomatic carriers.

Populations

  • About 2% allele frequency in European populations; much rarer elsewhere

References