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Very Long-Chain Fatty Acid C24:0 and Creatinine, Urine and Stool

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

Measures very long-chain fatty acid C24:0 and creatinine in urine and stool to help assess fatty-acid metabolism or intestinal absorption.

Quick summary

["Abnormal results may reflect changes in fatty-acid handling or absorption, but diet and other factors must also be considered."]

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

Key facts at a glance

LOINC
50060-3
Short code
VLCFA C24:0/Creat Ur-sRto
Synonyms
VLCFA C24:0/Creat 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?

This test measures very long-chain fatty acid C24:0, a type of long-chain fat, in urine and stool. Creatinine is also measured; in urine, it can help account for differences in urine concentration.

Why might I need this test?

A clinician may order this test when symptoms suggest an issue with intestinal fat absorption, nutritional intake, or the body's handling of fatty acids. The results are usually interpreted with other laboratory tests and the clinical picture.

How is the test performed?

Urine and stool samples are collected as directed by the laboratory. The laboratory analyzes the samples to determine the amount of C24:0 fatty acid and the creatinine measurement, when applicable.

How do I prepare for the test?

Follow the laboratory's collection instructions and tell the clinician about major dietary changes, fatty-acid supplements, and any diarrhea or other bowel symptoms. Do not change your diet specifically for this test unless your clinician instructs you to do so.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An abnormal C24:0 result may occur with altered fatty-acid metabolism or impaired intestinal absorption. Results from urine and stool can also be affected by diet, supplements, bowel function, and sample collection, so an isolated abnormal value is not diagnostic. Your clinician will interpret the findings alongside symptoms and other tests.

Short name

VLCFA C24:0 and creatinine

Frequently asked questions

What does very long-chain fatty acid C24:0 measure?
It measures the amount of a specific long-chain fatty acid, identified as C24:0, in the collected sample. This is different from a standard blood test that measures a panel of very long-chain fatty acids.
Why is creatinine included?
Creatinine can help adjust an urine measurement for urine concentration. Stool creatinine, if reported, is interpreted differently and does not serve the same purpose.
Does an abnormal result mean I have a metabolic disorder?
Not by itself. Abnormal results may reflect diet, intestinal absorption, bowel conditions, or other factors and require clinical interpretation with additional tests when appropriate.
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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