BEVITAL AS

Targeted Metabolomics for

Precise, Reliable, and Reproducible Data.

“Bigger isn’t always better. The quality of your data often matters as much as — and sometimes more than — the sheer quantity.” Rishabh Iyer 

Why Analytical Quality Matters

In metabolomics, analytical data quality reflects how reliably metabolite concentrations can be measured and interpreted. High-quality data are characterized by both accuracy (results closely reflect true metabolite levels) and trustworthiness (results are consistent and reproducible across different experiments and laboratories). This reliability hinges on achieving high precision and strong reproducibility.

In many (metabolomics) research scenarios, data quality can be unequivocally more important than the sheer quantity of data points or samples. While large sample sizes are generally desirable for statistical power, if the underlying data is noisy, inaccurate, or irreproducible, even a massive dataset will lead to misleading or biased conclusions. 

Edit
ScenarioDemand for Quality
Biomarker Discovery & Validation for Diagnostics/PrognosticsHigh precision, accuracy, and reproducibility are critical for identifying reliable biomarkers. Low quality leads to false positives or missed true biomarkers, hindering clinical utility and regulatory approval.
Pharmacometabolomics & Drug Efficacy/Toxicity StudiesEven subtle metabolic changes can indicate drug effects. Inaccurate or noisy data can obscure true drug mechanisms, efficacy, or adverse events, leading to flawed drug development decisions.
Mechanism of Action StudiesAccurate and specific quantification of pathway intermediates and end products is essential to correctly map metabolic perturbations to specific biochemical pathways and understand underlying biological processes.
Clinical Trials (Later Phases: II/III)Data quality, reproducibility, and standardization are paramount for regulatory scrutiny and informing critical decisions about drug development, patient stratification, and treatment monitoring. Results directly impact patient care.
Studies with Limited, Precious SamplesWhen samples are scarce (e.g., rare diseases, specific tissues), maximizing high-quality data from each individual sample is crucial. Poor quality would waste invaluable biological material and lead to insufficient insights.
Quantitative Pathway Modeling & Flux AnalysisThese advanced computational analyses rely on highly accurate and precise quantification of metabolites to build reliable mathematical models and determine metabolic fluxes. Inaccurate input data generates fundamentally flawed models.
Multi-Center StudiesConsistency and comparability across sites are critical. Low data quality (e.g., high technical variability, different instrument performance, inconsistent protocols) across different laboratories will introduce significant batch effects and confound real biological variations, making results incomparable and invalidating conclusions despite large sample numbers.
Translational Research (Bench to Bedside)Reliable translation of findings from basic research (e.g., animal models, cell lines) to human clinical applications requires robust and consistent data. Poor quality or irreproducible data at any stage can invalidate promising preclinical discoveries upon clinical testing.

Data quality in metabolomics is a multifaceted concept, defined by meticulous attention to detail across the entire research workflow. It is determined by pre-analytical factors, encountered during initial sampling, processing and storage, where sample degradation, contamination, and heterogeneity during collection can all undermine the quality and reliability of the downstream generated analytical data. Beyond this, the quality is shaped by analytical and post-analytical parameters. These include the choice of the analytical method, the use of internal standards, accurate peak detection and integration. This is followed by the implementation of data scaling and normalization procedures which adjust for relative ranges and variance of each metabolite across all samples and mitigate batch effects. Ultimately,  all of these factors, pre-, analytical and post-analytcial contribute to whether the generated data reflect biological differences rather than technical artifacts, which is vital for ensuring equal statistical weight in downstream statistical analyses.

Targeted metabolomics is an analytical approach focused on the precise measurement and quantification of a defined set of known metabolites. Unlike untargeted metabolomics—which surveys as many metabolites as possible—targeted metabolomics deliberately concentrates on specific compounds. This approach is fundamental to the quality of data generated by targeted metabolomics, providing:

  • Accurate and precise absolute quantitation

  • Reliable detection of specific metabolites

  • Sensitive and reproducible measurements

  • Robust application for clinical and research purposes

For the last 2 decades Bevital’s targeted metabolomics methods have been developed by scientists and engineers who required uncompromising quality for their own research projects. Hence, Bevital’s staff has long experience to handle pre-analytical factors as sample degradation or assay interference. Bevital’s analytical methods are publicly available and key data regarding assay precision, accuracy and sensitivity can be found in the methods section.

Analytical Quality and Statistical Power

Power calculation is a critical statistical tool used to determine the necessary sample size for a study to detect a meaningful effect if one exists. However, its application in epidemiological and clinical studies is often problematic. Many researchers neglect to perform power calculations due to a lack of awareness or the inability to estimate the required parameters. Furthermore, a major critique from experts is that power calculations are fundamentally flawed when the effect size is unknown, as is often the case in discovery-based clinical research. This can lead to inaccurate power estimates and an inappropriate sample size.

The challenges associated with statistical power, underscore the importance of high analytical quality data which minimizes measurement variability and increases confidence in results, reducing the risk of biased or misleading conclusions. 

Gain in Precision by Use of Authentic Isotope-labeled Internal Standard

Bevital’s analytical platforms, which use authentic isotope-labeled internal standards (AILIS) for each analyte, consistently achieve higher assay precision than semi-targeted or untargeted methods.

Our internal standards (IS) yield median between-run coefficients of variation (CVs) as low as 2.7–5.9%. This is a stark contrast to non-authentic standards, which can result in median CVs up to 10.7 percentage points higher.

For individual platforms and analytes (A), the decrease in precision can be quite dramatic as illustrated in Figure 1 showing the assay CVs for several fat-soluble vitamins (Vit. D3, Vit. A, Vit. D2, γ-toc., α-toc., Vit. K1; authentic (x=y), non-authentic (x≠y)).

Fig. 1: Precision by different internal standards. (Click to interact)

Effect of Precision on Statistical Power

By improving precision, we can boost statistical power, which enables our customers to detect significant changes with either smaller effect sizes or in smaller sample sizes, making studies more feasible and cost-effective. 

As demonstrated in Figure 2, the required sample size (N) for a study is heavily dependent on the assay’s precision, represented by the coefficient of variation (CV). The calculations are based on two-sample tests with a Type I Error () of 0.05 and a Power of 0.90. For instance, to detect a small change of just 3% (x: ratio of means), an assay with a CV of 5% requires only 57 subjects per group. However, if the CV increases to 10%, the required sample size quadruples to 226 subjects. With a CV of 20%, the number jumps to 905, and with a CV of 30%, it skyrockets to 2037 subjects per group.

As a role of thumb, a twofold decrease in assay precision necessitates a quadrupling of the study group size to maintain statistical power.

Fig. 2: Study size (N) as function of effect size (% change) for different CVs. (Click to interact)

Spurious Correlation by Use of Non-Authentic Isotope Labeled Internal Standard

Another critical advantage of AILIS is its ability to reduce spurious correlations between biologically unrelated analytes. When a single internal standard is shared among multiple analytes, its inherent variability can create a false correlation, increasing the risk of false-positive findings. This phenomenon, described by early statisticians like Pearson, Galton, and Weldon, is still often overlooked. In Figure 3, the Spearman correlation (ρ) between signal ratios A/IS of valine and serine is low () when using AILIS (green dots), correctly reflecting their biological independence. However, using a non-authentic standard inflates the correlation to , demonstrating how they can create misleading relationships in the data.

Furthermore, inadequate signal ratios of analyte to internal standard can directly compromise analytical quality. When the analyte signal is much lower than the internal standard, or vice versa, the method’s accuracy, precision, and sensitivity are at risk due to suppression, contamination, or mismatched behavior. As illustrated in the inset of Figure 3, the AILIS approach (green dots) yields a tightly grouped set of ratios centered on 1.0. In contrast, the use of various non-authentic standards (represented by purple, yellow, red, and blue dots) results in ratio distributions that deviate from this center (on a logarithmic scale). The calculated Spearman correlation coefficients for these distinct clusters further demonstrate that employing non-authentic standards leads to increased spurious correlations.

Fig. 3: Correlation between signal ratios A/IS for amino acids valine and serine using different internal standards.

Conclusion

Bevital’s targeted analytical approach, using AILIS, offer greater precision, reliability and reproducibility, enhancing statistical power, and decreasing the risk of false or misleading findings, making our platforms a powerful and trustworthy tool for basic, clinical and epidemiological research.

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Per Christian Eriksen

Øivind

Per Magne Ueland has been Professor at the University of Bergen 1987-2018. He is one of the founders of Bevital AS and the scientific advisor in Bevital since 2023. His interests includes biomarkers related to nutrition, inflammation, ageing and life-style related chronic diseases. Per is committed to the development of precise, high-throughput mass spectrometry methods, tailored for metabolic profiling of biobank specimens from large cohorts.

Marit holds a degree in chemical engineering from Bergen Ingeniørhøyskole, which is now part of the Western Norway University of Applied Sciences. She works with quantitative analysis and method development on LC-MS/MS at the laboratory of Bevital AS.

Ove completed a bachelor’s degree in Biomedical Laboratory Sciences at the Western Norway University of Applied Sciences in Bergen. With extensive experience in method development and expertise in GC-MS/MS, he specializes in optimizing analytical techniques for research-focused studies. At Bevital, Ove is dedicated to advancing laboratory methods and workflows, contributing to innovative research through precise and reliable analytical solutions.

Lene holds a bachelor’s degree in Biomedical Laboratory Science from the Western Norway University of Applied Sciences, where she is also completing her master’s degree in Medical Laboratory Technology. At Bevital, she works with GC-MS/MS analyses, focusing on accurate and reliable testing of biological samples. With her strong laboratory background, Lene is committed to delivering high-quality results that support medical research.

Klaus holds a PhD in physics from the University of Münster in Germany. He has over three decades of experience in Time-of-Flight mass spectrometry. He leverages his extensive expertise to provide customers with cutting-edge MALDI-MS analysis and the newest Olink Proteomics services.

Adrian holds a PhD in diabetes research, along with bachelor’s and master’s degrees in biomedical science and public health, respectively. With over 20 years of experience in laboratory science, he leads high-precision metabolite analyses and method development at Bevital. His expertise centers on quantifying biomarkers, metabolite classes, and metabolic pathways related to nutrition, cardiovascular and neurodegenerative diseases, and cancer. Adrian is committed to advancing research quality and actively collaborates nationally and internationally, leveraging targeted metabolomics to support innovative, multidisciplinary research.

Statistical power is the probability that a statistical test will correctly reject a false null hypothesis (H0​) when a specific alternative hypothesis (H1​) is true. H0​ is the null hypothesis, which states there is no effect or no difference. H1​ is the alternative hypothesis, which states there is a real effect or difference. Alpha (α) is the probability of a Type I error (a false positive), which is the risk of incorrectly rejecting the H0​ when it is actually true. You set this value before the experiment, commonly at 0.05. Beta (β) is the probability of a Type II error (a false negative), which is the risk of failing to reject the H0​ when it is actually false.

Power is calculated as 1−β. Increasing power means you are decreasing the probability of making a Type II error.

Several factors can be adjusted to increase the power of a statistical test:

  • Effect Size: This is the magnitude of the difference you are trying to detect. A larger effect size is easier to detect, thus increasing power. 

  • Sample Size: The number of observations in a study. A larger sample size provides more information about the population, reducing the margin of error and increasing the power to detect a true effect.

  • Variation: Refers to the spread or standard deviation of the data within the population. Less variation makes it easier to distinguish a real effect from random noise, thereby increasing power.

  • Alpha (): Increasing the alpha level (e.g., from 0.05 to 0.10) also increases power, but at the cost of a higher risk of a Type I error. This trade-off is often undesirable.

562 entries « 1 of 29 »
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Bakker, Lieke; Ramakers, Inez H G B; van Greevenbroek, Marleen M J; Backes, Walter H; Jansen, Jacobus F A; Schram, Miranda T; van der Kallen, Carla J H; Schalkwijk, Casper G; Wesselius, Anke; Ulvik, Arve; Ueland, Per M; Verhey, Frans R J; Eussen, Simone J P M; Köhler, Sebastian

The kynurenine pathway and markers of neurodegeneration and cerebral small vessel disease: The Maastricht Study Journal Article

In: J Neurol Sci, vol. 474, pp. 123522, 2025, ISSN: 1878-5883.

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Holthuijsen, Daniëlle D B; van Roekel, Eline H; Bours, Martijn J L; Ueland, Per M; Breukink, Stéphanie O; Janssen-Heijnen, Maryska L G; Konsten, Joop L; Keulen, Eric T P; McCann, Adrian; Brezina, Stefanie; Gigic, Biljana; Kok, Dieuwertje E; Ulrich, Cornelia M; Weijenberg, Matty P; Eussen, Simone J P M

Modeling how iso-caloric macronutrient substitutions are longitudinally associated with plasma kynurenines in colorectal cancer survivors up to 12 months post-treatment Journal Article

In: J Nutr Biochem, vol. 141, pp. 109910, 2025, ISSN: 1873-4847.

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Belen, Sergen; Patt, Nadine; Kupjetz, Marie; Ueland, Per M; McCann, Adrian; Gonzenbach, Roman; Bansi, Jens; Zimmer, Philipp

Vitamin B status is related to disease severity and modulated by endurance exercise in individuals with multiple sclerosis: a secondary analysis of a randomized controlled trial Journal Article

In: Am J Clin Nutr, vol. 121, no. 6, pp. 1403–1414, 2025, ISSN: 1938-3207.

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Dahl, Tuva B; Aftab, Friha; Prebensen, Christian; Berdal, Jan-Erik; Ueland, Thor; Barratt-Due, Andreas; Riise, Anne Ma Dyrhol; Ueland, Per Magne; Hov, Johannes R; Trøseid, Marius; Aukrust, Pål; Gregersen, Ida; Myhre, Peder L; Omland, Torbjørn; Halvorsen, Bente

Imidazole propionate is increased in severe COVID-19 and correlates with cardiac involvement Miscellaneous

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Banjara, Sarala; Berggreen, Ellen; Igland, Jannicke; Åstrøm, Anne-Kristine; Midttun, Øivind; Bunæs, Dagmar; Sulo, Gerhard

Plasma levels of immune system activation markers Neopterin and Kynurenine-to-Tryptophan Ratio, and oral health among community-dwelling adults in Norway: a population-based, cohort study Journal Article

In: Acta Odontol Scand, vol. 84, pp. 218–225, 2025, ISSN: 1502-3850.

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Holthuijsen, Daniëlle D B; Rijnhart, Judith J M; Bours, Martijn J L; van Roekel, Eline H; Ueland, Per M; Breukink, Stéphanie O; Janssen-Heijnen, Maryska L G; Konsten, Joop L; Keulen, Eric T P; McCann, Adrian; Brezina, Stefanie; Gigic, Biljana; Ulrich, Cornelia M; Weijenberg, Matty P; Eussen, Simone J P M

Longitudinal associations of dietary intake with fatigue in colorectal cancer survivors up to 1 year post-treatment, and the potential mediating role of the kynurenine pathway Journal Article

In: Brain Behav Immun, vol. 126, pp. 144–159, 2025, ISSN: 1090-2139.

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Joisten, Niklas; Reuter, Marcel; Rosenberger, Friederike; Venhorst, Andreas; Kupjetz, Marie; Walzik, David; Schenk, Alexander; McCann, Adrian; Ueland, Per Magne; Meyer, Tim; Zimmer, Philipp

Exercise training restores longevity-associated tryptophan metabolite 3-hydroxyanthranilic acid levels in middle-aged adults Journal Article

In: Acta Physiol (Oxf), vol. 241, no. 5, pp. e70041, 2025, ISSN: 1748-1716.

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8.

Jørgensen, Silje F; Braadland, Peder R; Ueland, Thor; Fraz, Mai S A; Michelsen, Annika E; Holm, Kristian; Osnes, Liv T; Trøseid, Marius; Ueland, Per Magne; Fevang, Børre; Aukrust, Pål; Hov, Johannes R

Tryptophan-kynurenine metabolites associate with inflammation and immunologic phenotypes in common variable immunodeficiency Journal Article

In: J Allergy Clin Immunol, 2025, ISSN: 1097-6825.

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Grytten, Elise; Laupsa-Borge, Johnny; Cetin, Kaya; Bohov, Pavol; Nordrehaug, Jan Erik; Skorve, Jon; Berge, Rolf K; Strand, Elin; Bjørndal, Bodil; Nygård, Ottar K; Rostrup, Espen; Mellgren, Gunnar; Dankel, Simon N

Inflammatory markers after supplementation with marine n-3 or plant n-6 PUFAs: A randomized double-blind crossover study Journal Article

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Trollebø, Marte A; Tangvik, Randi J; Skeie, Eli; Nygård, Ottar; Eagan, Tomas M L; McCann, Adrian; Dierkes, Jutta

Metabolic profiles and malnutrition in hospitalized adults: A metabolomic cohort study Journal Article

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Valim, Valéria; Oliveira, Fabíola R; Miyamoto, Samira T; Serrano, Érica V; Balarini, Gabriela M; Tanure, Leandro A; Ferreira, Gilda A; Zandonade, Eliana; Brun, Johan G; Jonsson, Malin; Maeland, Elisabeth; Ulvik, Arve; Ueland, Per Magne; Jonsson, Roland; Mydel, Piotr M

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Wilson, Edward N; Umans, Jacob; Swarovski, Michelle S; Minhas, Paras S; Mendiola, Justin H; Midttun, Øivind; Ulvik, Arve; Shahid-Besanti, Marian; Linortner, Patricia; Mhatre, Siddhita D; Wang, Qian; Channappa, Divya; Corso, Nicole K; Tian, Lu; Fredericks, Carolyn A; Kerchner, Geoffrey A; Plowey, Edward D; Cholerton, Brenna; Ueland, Per M; Zabetian, Cyrus P; Gray, Nora E; Quinn, Joseph F; Montine, Thomas J; Sha, Sharon J; Longo, Frank M; Wolk, David A; Chen-Plotkin, Alice; Henderson, Victor W; Wyss-Coray, Tony; Wagner, Anthony D; Mormino, Elizabeth C; Aghaeepour, Nima; Poston, Kathleen L; Andreasson, Katrin I

Parkinson's disease is characterized by vitamin B6-dependent inflammatory kynurenine pathway dysfunction Journal Article

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Ramos-Rodríguez, Carla; Rojas-Gomez, Alejandra; Santos-Calderón, Luis A; Ceruelo, Santiago; Ríos, Lídia; Ueland, Per M; Fernandez-Ballart, Joan D; Salas-Huetos, Albert; Murphy, Michelle M

The l-Arginine pathway may act as a mediator in the association between impaired one-carbon metabolism and hypertension Journal Article

In: Biochimie, vol. 230, pp. 86–94, 2025, ISSN: 1638-6183.

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Svenningsson, Mads M; Svingen, Gard Ft; Ueland, Per M; Sulo, Gerhard; Bjørnestad, Espen Ø; Pedersen, Eva R; Dhar, Indu; Nilsen, Dennis W; Nygård, Ottar

Elevated plasma trimethyllysine is associated with incident atrial fibrillation Journal Article

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Damerell, Victoria; Klaassen-Dekker, Niels; Brezina, Stefanie; Ose, Jennifer; Ulvik, Arve; van Roekel, Eline H; Holowatyj, Andreana N; Baierl, Andreas; Böhm, Jürgen; Bours, Martijn J L; Brenner, Hermann; de Wilt, Johannes H W; Grady, William M; Habermann, Nina; Hoffmeister, Michael; Keski-Rahkonen, Pekka; Lin, Tengda; Schirmacher, Peter; Schrotz-King, Petra; Ulrich, Alexis B; van Duijnhoven, Fränzel J B; Warby, Christy A; Shibata, David; Toriola, Adetunji T; Figueiredo, Jane C; Siegel, Erin M; Li, Christopher I; Gsur, Andrea; Kampman, Ellen; Schneider, Martin; Ueland, Per M; Weijenberg, Matty P; Ulrich, Cornelia M; Kok, Dieuwertje E; and, Biljana Gigic

Circulating tryptophan-kynurenine pathway metabolites are associated with all-cause mortality among patients with stage I-III colorectal cancer Journal Article

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Fossdal, Guri; Braadland, Peder; Hov, Johannes Roksund; Husebye, Eystein Sverre; Folseraas, Trine; Ueland, Per Magne; Ulvik, Arve; Karlsen, Tom Hemming; Berge, Rolf Kristian; Vesterhus, Mette

Mitochondrial dysfunction and lipid alterations in primary sclerosing cholangitis Journal Article

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Walzik, David; Joisten, Niklas; Schenk, Alexander; Trebing, Sina; Schaaf, Kirill; Metcalfe, Alan J; Spiliopoulou, Polyxeni; Hiefner, Johanna; McCann, Adrian; Watzl, Carsten; Ueland, Per Magne; Gehlert, Sebastian; Worthmann, Anna; Brenner, Charles; Zimmer, Philipp

Acute exercise boosts NAD metabolism of human peripheral blood mononuclear cells Journal Article

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Santos-Calderón, Luis A; Cavallé-Busquets, Pere; Ramos-Rodríguez, Carla; Grifoll, Carme; Rojas-Gómez, Alejandra; Ballesteros, Mónica; Ueland, Per M; Murphy, Michelle M

Folate and cobalamin status, indicators, modulators, interactions, and reference ranges from early pregnancy until birth: the Reus-Tarragona birth cohort study Journal Article

In: Am J Clin Nutr, vol. 120, no. 5, pp. 1269–1283, 2024, ISSN: 1938-3207.

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Anfinsen, Åslaug Matre; Myklebust, Vilde Haugen; Johannesen, Christina Osland; Christensen, Jacob Juel; Laupsa-Borge, Johnny; Dierkes, Jutta; Nygård, Ottar; McCann, Adrian; Rosendahl-Riise, Hanne; Lysne, Vegard

Serum concentrations of lipids, ketones and acylcarnitines during the postprandial and fasting state: the Postprandial Metabolism (PoMet) study in healthy young adults Journal Article

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Holthuijsen, Daniëlle D B; van Roekel, Eline H; Bours, Martijn J L; Ueland, Per M; Breukink, Stéphanie O; Janssen-Heijnen, Maryska L G; Keulen, Eric T P; Brezina, Stefanie; Gigic, Biljana; Peoples, Anita R; Ulrich, Cornelia M; Ulvik, Arve; Weijenberg, Matty P; Eussen, Simone J P M

Longitudinal associations of plasma kynurenines and ratios with fatigue and quality of life in colorectal cancer survivors up to 12 months post-treatment Journal Article

In: Int J Cancer, vol. 155, no. 7, pp. 1172–1190, 2024, ISSN: 1097-0215.

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