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Blood Tests: What You Need to Know

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

This test measures free carnitine and acylcarnitine levels in urine to help diagnose metabolic disorders affecting energy production.

Quick summary

{"The test measures carnitine and its derivatives in urine to evaluate metabolic function","It helps diagnose conditions like fatty acid oxidation disorders and organic acidemias","Abnormal results may indicate problems with converting fat into energy","The test is commonly used for newborn screening and evaluating unexplained metabolic symptoms","Results are interpreted by comparing urine levels to reference ranges, often with blood testing for confirmation"}

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

Key facts at a glance

LOINC
43186-6
Short code
Acylcarnitine/C0 Ur-sRto
Synonyms
Acylcarnitine/C0 Ur-sRto
Category
chemistry
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

This is a laboratory test that examines a small sample of your blood to give your healthcare provider valuable information about your overall health, how well certain organs are working, and whether there are signs of infection, disease, or other conditions that may need attention.

The urine acylcarnitine/carnitine test measures the levels of free carnitine (C0) and various acylcarnitines in your urine. Carnitine is a substance that helps your body turn fat into energy. This test evaluates how well your body processes fatty acids, which is essential for energy production, especially during fasting or exercise.

Your doctor may order this test for several reasons, including as part of a routine annual checkup, to help diagnose the cause of symptoms you are experiencing, to screen for certain health conditions before they cause problems, or to monitor how well an existing condition or treatment is being managed over time.

This test is typically ordered when a newborn screening shows abnormal results, or when someone has symptoms suggesting a metabolic disorder. These symptoms may include developmental delays, muscle weakness, seizures, unexplained fatigue, or episodes of illness that worsen during fasting. The test helps doctors identify problems with fatty acid metabolism or carnitine processing.

Your results will show whether specific measurements fall within the normal reference range for your age and sex. Values that are too high or too low do not always mean something serious, so your healthcare provider will interpret them alongside your symptoms, medical history, and any other test results before recommending next steps or follow-up testing.

Results show the amounts of different carnitine forms in your urine. Specific patterns of abnormalities can indicate different metabolic conditions. For example, low free carnitine might suggest carnitine deficiency, while elevated certain acylcarnitines may indicate specific enzyme deficiencies. Your doctor will interpret the results based on your symptoms, medical history, and often follow-up blood testing.

A trained healthcare professional will collect your sample by drawing a small amount of blood, usually from a vein in your arm using a thin needle. You may feel a brief pinch or sting during the draw, the procedure typically takes only a few minutes, and the sample is then sent to a laboratory for analysis.

A urine sample is collected in a sterile container. For accurate results, you may be asked to collect the first morning urine or a timed sample. No special preparation is usually needed, but follow any specific instructions from your healthcare provider. The sample is then sent to a laboratory for analysis using specialized equipment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is primarily used to diagnose and monitor inherited metabolic disorders, particularly fatty acid oxidation disorders (such as medium-chain acyl-CoA dehydrogenase deficiency) and organic acidemias. It can also detect carnitine deficiency, which may be genetic or acquired. Early detection of these conditions is crucial for preventing serious complications, as specialized diets and treatments can help manage these disorders effectively.

Frequently asked questions

Is this test painful?
No, this test only requires a urine sample, which is painless. The collection process is similar to a routine urine test.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results.
Do I need to fast before this test?
Follow your healthcare provider's instructions. In some cases, fasting samples may be required to properly evaluate fatty acid metabolism. However, routine urine collections typically do not require fasting.
What happens if my results are abnormal?
If results are abnormal, your doctor may order additional tests, often including blood acylcarnitine analysis, to confirm a diagnosis. Depending on the findings, you may be referred to a metabolic specialist for further evaluation and management.
Can this test detect all metabolic disorders?
No, this test specifically evaluates carnitine and acylcarnitine metabolism. It is excellent for detecting fatty acid oxidation disorders and organic acidemias, but other tests are needed to evaluate different metabolic pathways.
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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