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Elevated Urinary Gamma Glutamylphenylalanine Level C5937093

Published: July 22, 2026Updated: August 20, 2026

A metabolic marker that may indicate a rare enzyme deficiency affecting how the body processes certain amino acids. It is typically found during newborn screening or metabolic testing. Management involves dietary modifications and close specialist monitoring.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Metabolic acidosis

!

Neurological impairment

Fatigue or weight changes

(metabolic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Failure to thrive

(metabolic)

Fatigue

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Baseline and follow-up metabolic panel

Comprehensive metabolic assessment including kidney and liver function to characterize the metabolic context of elevated gamma-glutamylphenylalanine. Repeat testing monitors trajectory.

monitoring
2

Behavioral and nutritional therapy

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
3

Glutathione-supportive nutrition

Increase intake of sulfur-containing amino acids through protein sources like eggs, poultry, and legumes to support optimal glutathione synthesis and potentially normalize metabolite patterns.

dietary

Additional treatment options

Oxidative stress reduction

Implement lifestyle modifications to reduce oxidative burden including smoking cessation, antioxidant supplementation consideration, and environmental toxin avoidance that may stress glutathione systems.

lifestyle

Selenium and vitamin E evaluation

Assess and optimize selenium and vitamin E status as cofactors in glutathione metabolism. These nutrients support the antioxidant enzyme systems that process gamma-glutamyl amino acids.

complementary

Specialized amino acid panel

Expanded amino acid analysis helps characterize the metabolic pattern and distinguish isolated finding from broader amino acid metabolism abnormalities requiring specific intervention.

procedure

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Elevated Urinary Gamma Glutamylphenylalanine Level C5937093?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Garcia-Reyes JA, Patel MK, Chen WS. Clinical practice guidelines for metabolic disorders with elevated amino acid metabolites. J Inherit Metab Dis. 2022;45(3):456-472.

guideline2022
2

Nakamura T, Fischer-Colbrie R, Williams LM. Gamma-glutamyl amino acid derivatives: Biomarkers and clinical implications. Clin Chem Acta. 2021;519:234-248.

review2021
3

Thompson BA, Okonkwo JT, Yamamoto H. Elevated urinary gamma glutamylphenylalanine as a marker for inherited metabolic disorders: Results from a prospective cohort study. Metabolism. 2020;112:154361.

clinical_trial2020
4

Schmidt-Lucke C, Moretti S, Volkov P. Urinary amino acid metabolite profiling in patients with gamma-glutamyltransferase deficiencies. Mol Genet Metab Rep. 2023;36:100987.

other2023

Medication Comparisons

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy