Heparin is ah ighly sulfated, complex polysaccharide and widely used anticoagulant pharmaceutical. In this work, we chemoenzymatically synthesized perdeuteroheparin from biosynthetically enriched heparosan precursor obtained from microbial culture in deuterated medium. Chemical de-Nacetylation, chemical N-sulfation, enzymatic epimerization, and enzymatic sulfation with recombinant heparin biosynthetic enzymes afforded perdeuteroheparin comparable to pharmaceutical heparin. Aseries of applications for heavy heparin and its heavy biosynthetic intermediates are demonstrated, including generation of stable isotope labeled disaccharide standards, development of an on-radioactive NMR assayf or glucuronosyl-C5-epimerase,a nd background-free quantification of in vivo half-life following administration to rabbits.W e anticipate that this approach can be extended to produce other isotope-enriched glycosaminoglycans.