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4-Hydroxyphenylglycoluric acid (4-OHPG) urine

Published: August 9, 2026Updated: August 16, 2026

This test measures the presence of 4-hydroxyphenylglycoluric acid, a breakdown product of certain neurotransmitters, in your urine. It may be used to help diagnose or monitor conditions affecting metabolism or neurotransmitter function.

Quick summary

["This test helps assess metabolic or neurotransmitter-related health concerns through urine analysis."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
43634-5
Short code
3Me4OH-phenylglycol Ur Ql
Synonyms
3Me4OH-phenylglycol Ur Ql
Category
glucose
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms or risk factors for conditions like phenylketonuria (a genetic disorder affecting metabolism) or other metabolic or neurological issues. It may also be part of a broader evaluation for unexplained neurological symptoms or genetic testing.

How the Test Works

A small urine sample is collected and analyzed to detect the chemical compound 4-hydroxyphenylglycoluric acid. The test typically involves specialized laboratory techniques to identify and quantify this substance in your urine.

Sample Collection

You will likely be instructed to collect a 24-hour urine sample, starting from the first morning void until the next morning’s first void. This ensures a representative measure of your body’s natural production of the compound over a full day.

What to Expect Before the Test

No special preparation is usually required, but you may need to avoid certain medications or foods that could interfere with the test results. Always follow your healthcare provider’s specific instructions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated levels of 4-hydroxyphenylglycoluric acid in urine may indicate metabolic disorders such as phenylketonuria or other conditions affecting neurotransmitter metabolism. It can also be part of diagnostic workup for neurological symptoms or genetic testing for inherited metabolic diseases.

Short name

4-OHPG Urine

Frequently asked questions

What does a positive result mean?
A positive or elevated result may suggest an underlying metabolic issue, such as phenylketonuria or other conditions affecting neurotransmitter metabolism. Your healthcare provider will discuss the results with you and may recommend further testing or treatment options.
How long will it take to get results?
Test results are typically available within 1 to 3 business days, depending on your laboratory’s processing schedule. Your healthcare provider will contact you once the results are ready.
Can I drink alcohol before this test?
Alcohol consumption may not directly affect this specific test, but it’s best to avoid it if you’re also undergoing other tests or following specific dietary instructions. Always confirm with your healthcare provider for personalized advice.
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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 16, 2026. · Read our editorial policy