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Gamma-Aminobutyric Acid/Creatinine Ratio, 24-Hour Urine

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

Measures urinary gamma-aminobutyric acid relative to creatinine in a 24-hour urine collection to help assess GABA metabolism.

Quick summary

["This specialized urine test measures how much GABA is excreted relative to creatinine, with interpretation based on the complete collection and your clinical situation."]

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

Key facts at a glance

LOINC
25915-0
Short code
GABA/Creat 24h Ur-sRto
Synonyms
GABA/Creat 24h Ur-sRto
Category
kidney
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

What is this test?

Gamma-aminobutyric acid, or GABA, is a signaling molecule that acts as an inhibitory neurotransmitter in the nervous system. This test measures GABA in relation to creatinine in urine collected for 24 hours, which helps account for differences in urine concentration.

Why might I need this test?

A clinician may order this test as part of a specialized evaluation of suspected abnormalities in neurotransmitter metabolism. It may also be used to follow selected patients when the healthcare team has a specific clinical reason to monitor GABA excretion.

How is the test performed?

You collect all urine produced during a full 24-hour period using the container and instructions provided by the laboratory. The laboratory measures GABA and creatinine and reports the amount of GABA relative to the amount of creatinine.

How do I prepare for the test?

Follow the laboratory's collection instructions carefully and record the start and finish times. Avoid missing urine or accidentally including urine from before or after the collection period, and return the container as directed. Do not change your diet or medications unless your clinician specifically tells you to do so.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated or reduced GABA-to-creatinine ratio may reflect altered GABA metabolism or excretion, but results can also be affected by incomplete collection, hydration, medications, and other factors. The result should be interpreted by the ordering clinician alongside symptoms, medication use, and other laboratory findings. This test alone does not establish a diagnosis.

Short name

24-Hour Urine GABA/Creatinine Ratio

Frequently asked questions

Why is creatinine included in this test?
Creatinine is used as a reference marker for urine concentration. Comparing GABA with creatinine helps reduce the effect of variations in how concentrated or dilute the urine sample is.
Does a 24-hour urine test require fasting?
Fasting is not usually required unless your clinician gives separate instructions. You should maintain your usual diet and medication routine unless the laboratory specifically directs otherwise.
What happens if part of the urine collection is missed?
A missed collection can make the result unreliable. Tell the laboratory or your clinician, because the test may need to be repeated using a new 24-hour collection.
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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