Dr. Weyrich's Naturopathic Functional Medicine Notebook
Test Overview of Urine Amino Acid Panel
Measurement of amino acids and derivatives in the urine can help evaluate
nutritional status, the presence of inborn errors of metabolism,
urea cycle defects,
digestive and GI status, detoxification status, and neurological indicators.
Test Indications of Urine Amino Acid Panel
Supplementary test for evaluating Autism Spectrum Disorder (ASD),
Pervasive Developmental Disorder (PDD), Asperger's Syndrome,
Attention-Deficit Hyperactivity Disorder (ADD, ADHD), learning disability,
depression, anxiety, seizure disorders, sleep and mood disorders.
Supplementary test for evaluating environmental heavy metal toxicity.
Evaluation of urea-cycle defects (inborn errors of metabolism).
Evaluation of nutritional defects including maldigestion, malabsorption,
imbalanced protein intake.
Evaluation of renal tubular defects leading to loss of amino acids.
Headaches.
Chronic fatigue and Fibromyalgia.
Chronic illness and cancer.
Sample Collection for Urine Amino Acid Panel
Your doctor will provide you with the sample collection kit that
includes sample container, gel-pack, and shipping materials.
Avoid amino acid supplements and unusually large protein meals for 24
hours before collecting urine.
Place gel-pack in the freezer the night before sample collection.
Collect at least 15 mL of FIRST MORNING URINE, before eating or drinking
(or use special pediatric collection bag overnight if patient is not
potty trained).
Refrigerate sample (do not freeze) until ready to send to lab.
The sample must be sent via overnight FedEx directly to the lab
on a Monday through Thursday using the prepaid mailer provided.
Detailed instructions are in the sample collection kit.
Your doctor or lab may have different instructions that supersede the above.
CPT CODES for Urine Amino Acid Panel
CPT-Code
Description
Comments
82139
Amino Acids, 6 or more
82140
Ammonia
Labs Performing Urine Amino Acid Panel Test
Name of Lab
Lab Code
Estimated Cost
Processing Time
Comments
Costs cited are subject to change and may be reduced by insurance or cash discounts and increased by sample collection fees.
Theory of Urine Amino Acid Panel
Depressed levels of all or many amino acids in the urine suggests low protein
intake, digestion (low HCl or proteases), or absorption, or dysbiosis.
Elevated levels of all or many amino acids in the urine suggests high protein
intake, renal tubular defect (genetic defect or toxicity).
Alanine
Nonessential
Elevated level suggests urea cycle defect.
L-alpha-amino-N-butyric Acid
B vitamin marker
Alpha-Aminoadipic Acid
GI marker
B vitamin marker
Ammonia
GI marker
Neurological marker
Elevated level suggests urea cycle defect.
Anserine
GI marker
Arginine
Essential or conditionally indispensable
Elevated level suggests urea cycle defect.
Asparagine
Nonessential
Urea cycle metabolite
Aspartic Acid
Nonessential
Detoxification marker
Urea cycle metabolite
Beta-Alanine
GI marker
B vitamin marker
Neurological marker
L-beta-aminoisobutyric Acid
GI marker
B vitamin marker
Carnosine
GI marker
Citrulline
Magnesium marker
Elevated level suggests urea cycle defect.
Creatinine
Used to normalize calculations of concentration.
Cystathionine
B vitamin marker
Neurological marker
Cysteine
Essential or conditionally indispensable
B vitamin marker
Detoxification marker
Cystine
Nonessential
Ethanolamine
GI marker
Magnesium marker
Gamma-Aminobutyric Acid
GI marker
Glutamic Acid
Nonessential
Excitatory neurotransmitter - associated with chronic fatigue,
fibromyalgia, seizures, attention deficit, and brain cancer.
Found in monosodium glutamate (MSG) and aspartame (NutraSweet, Equal).
Glutamine
Nonessential
Detoxification marker
Neurological marker
Elevated level suggests urea cycle defect.
Glycine
Nonessential
Detoxification marker
Histidine
Essential or conditionally indispensable
Homocysteine
B vitamin marker
L-hydroxyproline
GI marker
Isoleucine
Essential or conditionally indispensable
Leucine
Essential or conditionally indispensable
Lysine
Essential or conditionally indispensable
Methionine
Essential or conditionally indispensable
Detoxification marker
Methionine Sulfoxide
Magnesium marker
1-methylhistidine
B vitamin marker
3-Methylhistidine
B vitamin marker
Ornithine
Elevated level suggests urea cycle defect.
Phenylalanine
Essential or conditionally indispensable
Neurological marker
Phosphoethanolamine
Magnesium marker
Phosphoserine
Magnesium marker
Proline
Nonessential
Sarcosine
B vitamin marker
Serine
Nonessential
Magnesium marker
B vitamin marker
Taurine
Essential or conditionally indispensable
GI marker
Magnesium marker
Detoxification marker
Neurological marker
Threonine
Essential or conditionally indispensable
GI marker
Tryptophan
Essential or conditionally indispensable
GI marker
Neurological marker
Tyrosine
Nonessential
Neurological marker
Urea
Depressed level suggests urea cycle defect.
Valine
Essential or conditionally indispensable
References regarding Urine Amino Acid Panel
[GP2008]  Great Plains Laboratory, William Shaw, Lori Knowles, Kurt Woeller.
Physician Practitioner Training (Autism) Lecture Notes and Documentation.
Tempe, AZ (8/23/2008 – 8/24/2008). FULL TEXT
Unless specifically noted above, references used in the construction of this web
page include the following:
[FMU]
Lecture notes from Functional Medicine University.
[SCNM]
Lecture notes from Southwest College of Naturopathic Medicine.
[UT]
Lecture notes from the University of Tennessee graduate programs in
Chemistry, Microbiology, and Biochemistry.