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Valine/Creatinine Ratio, Urine

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

Measures urine valine relative to creatinine, helping assess valine excretion and how the body handles this amino acid.

Quick summary

["This urine test can help identify unusually high or low valine excretion and guide evaluation of possible metabolic or nutritional causes."]

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

Key facts at a glance

LOINC
13822-2
Short code
Valine/Creat Ur
Synonyms
Valine/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 valine, an amino acid, in the urine and compares its amount with urine creatinine. The ratio helps account for differences in urine concentration, making the result easier to interpret.

Why might I need this test?

A clinician may order it to evaluate how your body processes valine, particularly when symptoms or laboratory findings suggest an inherited metabolic condition, nutritional concern, or abnormal amino acid excretion.

How is the test performed?

A urine sample is tested to determine the amounts of valine and creatinine, and the valine-to-creatinine ratio is calculated. The sample may be a first-morning, timed, or random collection, depending on the instructions provided by your clinician.

How do I prepare for the test?

Follow the collection instructions provided by your healthcare professional, including whether a first-morning sample or a timed collection is required. Record the collection time and inform the laboratory if your diet has recently changed substantially or if you take medicines or supplements that could affect urine amino acid levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated urine valine-to-creatinine ratio may indicate increased valine excretion, which can occur with certain inherited metabolic disorders, high protein intake, or other changes in amino acid metabolism. A lower ratio may reflect low dietary intake, low urine concentration, or reduced excretion. Results should be interpreted with age, diet, symptoms, and other laboratory findings because reference ranges vary.

Short name

Urine Valine/Creatinine Ratio

Frequently asked questions

Is this the same as a blood valine test?
No. This test measures valine in urine relative to urine creatinine, whereas a blood valine test measures the concentration of valine in blood.
Why is creatinine included in the result?
Creatinine is used to account for how concentrated the urine is. This allows the valine amount to be compared more reliably across samples.
Can diet or supplements affect the result?
Yes. Protein intake, fasting status, illness, and certain medicines or supplements may affect urine amino acid excretion, so collection and preparation instructions are important.
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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