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Serum/plasma citrulline concentration

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

This test measures the amount of citrulline, an amino acid involved in the urea cycle, which helps remove waste products from your blood. It may be used to assess liver function or metabolic health.

Quick summary

["Citrulline levels can help diagnose or monitor conditions affecting liver function or urea cycle disorders."]

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

Key facts at a glance

LOINC
53506-2
Short code
Citrulline SFr Plas
Synonyms
Citrulline SFr Plas
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms or conditions linked to liver issues, such as liver disease, metabolic disorders, or urea cycle defects. It could also be part of routine monitoring for patients with known kidney or liver problems.

What to Expect Before the Test

No special preparation is typically needed, but you may be asked to fast for a few hours before the blood draw if your test includes fasting components. Bring any medications or supplements you’re currently taking to your appointment.

How the Test Works

A small sample of your blood (either serum or plasma) is collected and sent to a lab. The lab measures the concentration of citrulline using a specialized analytical method, often an immunoassay or enzymatic technique, to detect and quantify the amino acid.

What the Results Mean

Results are usually reported as a concentration value (e.g., micromoles per liter). While reference ranges vary by lab, abnormal levels may signal underlying metabolic or liver conditions that need further evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated citrulline levels may indicate impaired liver function, urea cycle disorders, or conditions affecting ammonia metabolism. Low levels could suggest deficiencies in enzymes involved in the urea cycle or other metabolic disturbances. Always discuss results with your healthcare provider for personalized interpretation.

Short name

Citrulline Level

Frequently asked questions

What causes abnormal citrulline levels?
Abnormal results may be linked to liver disease, urea cycle disorders (e.g., citrullinemia), kidney problems, or certain metabolic syndromes. Genetic factors, medications, or dietary influences (e.g., protein intake) can also play a role.
How often should I get this test?
Frequency depends on your health status. Your provider will determine if regular monitoring is needed—especially if you have a known condition affecting citrulline metabolism or liver function.
Can diet affect citrulline levels?
Yes, dietary protein intake may influence citrulline levels, as it’s part of the urea cycle. Avoiding high-protein meals before testing may help ensure more accurate results, but always follow your provider’s instructions.
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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