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Serine and Creatinine, Urine

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

Measures serine and creatinine in urine to help evaluate amino acid excretion while accounting for differences in urine concentration.

Quick summary

["This test can help identify abnormal urinary serine excretion and guide evaluation for metabolic or inherited conditions."]

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

Key facts at a glance

LOINC
13808-1
Short code
Serine/Creat Ur
Synonyms
Serine/Creat Ur
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?

This test measures the amino acid serine and the waste product creatinine in a urine sample. Creatinine helps show how concentrated the urine is, which allows the amount of serine being lost in the urine to be interpreted more accurately.

Why might I need this test?

A clinician may order this test when symptoms suggest an amino acid metabolism disorder, nutritional problem, or another condition that may affect urinary amino acid excretion. It may also be used to monitor treatment for certain inherited metabolic diseases.

How is the test performed?

A urine sample is analyzed in the laboratory to determine the amount of serine and creatinine present. The results may be reported individually or together as a ratio, depending on the laboratory.

How do I prepare for the test?

Follow the collection instructions provided by your healthcare professional, including whether a random or timed urine collection is required. Tell the laboratory if you are taking supplements, medications, or receiving intravenous nutrition, because these can affect the results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated amount of serine in urine may indicate increased loss of this amino acid and can occur with certain inherited metabolic disorders, kidney-related effects, or medication-related changes. Low urinary serine may be influenced by low protein intake, illness, or treatment and is not usually interpreted by itself.

Creatinine varies with urine concentration and muscle production, so abnormal serine results should be interpreted with the creatinine measurement, clinical findings, and other laboratory tests. A qualified healthcare professional can explain what the results mean for you.

Short name

Urine serine and creatinine

Frequently asked questions

What does the urine serine test measure?
It measures the amount of the amino acid serine excreted in urine. Creatinine is measured at the same time to help account for how dilute or concentrated the urine sample is.
Why are serine and creatinine measured together?
Urine concentration can vary substantially between samples. Creatinine provides context for judging whether the amount of urinary serine is unusually high or low.
Does an abnormal result confirm a genetic disorder?
No. An abnormal result may prompt additional testing but does not by itself establish a genetic or metabolic disorder. Your clinician will consider symptoms, medications, diet, and other laboratory findings.
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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