Blood Tests: What You Need to Know
This test measures free carnitine and acylcarnitine levels in urine to help diagnose metabolic disorders affecting energy production.
{"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"}
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?
How long does it take to get results?
Do I need to fast before this test?
What happens if my results are abnormal?
Can this test detect all metabolic disorders?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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