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Free Metanephrine (Serum)

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

This test measures the naturally occurring chemical called free metanephrine in your blood. It helps assess whether you have a condition called pheochromocytoma or paraganglioma, which causes the adrenal glands or other parts of your body to produce too much hormone.

Quick summary

["Free metanephrine levels can indicate rare but serious hormone-related disorders."]

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

Key facts at a glance

LOINC
87499-0
Short code
Free 3-MT Ur-sRto
Synonyms
Free 3-MT 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

Why This Test Is Done

Your doctor may order this test if you have symptoms like severe headaches, high blood pressure, sweating, rapid heartbeat, or unexplained weight loss. It’s also used to check for conditions like pheochromocytoma or paraganglioma, which can cause excessive hormone production.

How the Test Works

A small blood sample is taken from a vein in your arm. The blood is then analyzed in a lab to measure free metanephrine levels. This test helps doctors determine if abnormal hormone levels are present that could cause health problems.

What to Expect Before the Test

No special preparation is needed, but you may be asked to stop certain medications that could affect results. If you have high blood pressure, your doctor might advise you to monitor it before the test.

What the Results Mean

High levels of free metanephrine may suggest a tumor in your adrenal glands or other parts of your body that produces too much hormone. Low levels are less commonly associated with this condition but can be part of a broader evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated free metanephrine levels strongly support a diagnosis of pheochromocytoma or paraganglioma. These tumors can cause dangerous symptoms like severe hypertension, palpitations, and anxiety. Early detection is important to guide treatment and prevent complications.

Short name

Free Metanephrine

Frequently asked questions

What causes abnormal free metanephrine levels?
Abnormal levels are most often linked to tumors (pheochromocytoma or paraganglioma) that release excess hormones. Other rare causes may include genetic conditions or certain medications that affect hormone metabolism.
How long does it take to get results?
Results are typically available within 1 to 3 business days, depending on lab processing times. Your doctor will discuss the findings with you during your follow-up visit.
Can I eat or drink before this test?
You can eat and drink normally before the test unless instructed otherwise by your doctor. Avoid caffeine or alcohol for at least 24 hours before testing, as they may affect hormone levels.
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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