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Citrulline in Serum or Plasma (Mass Concentration)

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

This test measures the amount of citrulline, an amino acid, in your blood. Citrulline helps assess kidney function and certain metabolic conditions.

Quick summary

["Citrulline helps evaluate kidney health and metabolic processes."]

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

Key facts at a glance

LOINC
54022-9
Short code
Mut cit vimentin Ab Ser-aCnc
Synonyms
Mut cit vimentin Ab Ser-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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 of kidney disease, such as fatigue, swelling, or changes in urine output. It could also be used to monitor conditions like urea cycle disorders, liver disease, or to check for metabolic imbalances in people with certain genetic or inherited disorders.

What to Expect Before the Test

No special preparation is typically required for this test. You may be asked to fast for 8–12 hours before the draw, but always follow your provider’s instructions. Bring any medications or supplements you’re taking, as they may affect results.

How the Test Is Performed

A healthcare professional will draw blood from a vein in your arm using a small needle. The blood sample will be sent to a lab for analysis. The test measures citrulline levels using a specialized laboratory method, often involving mass spectrometry or a similar precise technique.

What the Results Mean

Results are compared to a reference range specific to your lab, which accounts for factors like age, sex, and overall health. Abnormally high or low levels may signal underlying health issues, but interpretation depends on clinical context and other test results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated citrulline levels may indicate kidney dysfunction, liver disease, or metabolic disorders affecting amino acid metabolism. Low levels could suggest urea cycle enzyme deficiencies, severe dehydration, or other metabolic disturbances. Always discuss results with your provider to understand their implications for your health.

Short name

Citrulline Level

Frequently asked questions

What causes abnormal citrulline levels?
Abnormal citrulline levels can result from kidney problems, liver disease, or genetic disorders like urea cycle defects. Other factors, such as dehydration, certain medications, or metabolic stress, may also influence results.
How often should I get this test?
Your provider will determine the frequency based on your health needs. Some people may need this test periodically if they have chronic kidney disease, liver issues, or a history of metabolic disorders.
Can diet or supplements affect citrulline levels?
Dietary changes, such as high-protein intake, may temporarily influence amino acid levels, but citrulline is not commonly affected by typical supplements. Always follow your provider’s advice regarding diet and test timing.
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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