Despite its high sensitivity and widespread use, the LAL test has several limitations. It can be subject to interference from certain sample components, such as glucans (which can activate the coagulation pathway non‑specifically), leading to false‑positive results. Conversely, some pharmaceutical formulations (e.g., high concentrations of salts, detergents, or proteins) may inhibit the enzymatic cascade, causing false negatives. The test also requires careful control of pH, temperature, and divalent cations to maintain consistency. Additionally, the LAL reagent is derived from horseshoe crab blood, raising sustainability and supply chain concerns, and the test cannot distinguish between active endotoxin and inactive fragments, which may overestimate toxicity in some contexts.











