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Arginine

Immunology & Autoimmune

ArgL-ArgininePlasma arginine

Review status

Currently under review

Pending specialist review and validation.

What it shows

Arginine is an amino acid, a building block of proteins that your body uses for many processes. This test measures arginine in your blood or urine to see how your body is making, using, and clearing it. Arginine plays a central role in the urea cycle, the pathway that turns ammonia into urea so it can be safely removed by the kidneys.

Your clinician may order arginine alone or as part of a broader amino acid profile. Results can reflect your diet, how well you absorb nutrients, your body’s own production, and how your liver and kidneys handle amino acids. Arginine is also involved in making nitric oxide, creatine, and other compounds important for muscle, blood vessels, and immune function.

Why it matters

Arginine levels can help uncover problems in the urea cycle, such as arginase deficiency, and can point to issues with liver or kidney function, nutrition, or metabolic stress. The test is commonly used when there are symptoms suggesting a metabolic disorder, in newborn screening follow-up, or when high ammonia is suspected.

It may also be used to monitor known metabolic conditions, check the effects of nutrition support, or assess the impact of supplements that include arginine or related amino acids. Understanding your arginine level can guide next steps, from dietary changes and vitamin or medication adjustments to further metabolic testing.

Understanding your results

Your result is interpreted in the context of your age, the type of sample collected, and how the sample was taken and handled. Mild changes can occur with recent meals, illness, or supplements and may not mean disease. Larger or persistent shifts may point to a metabolic condition or problems with liver or kidney processing and usually lead to repeat or confirmatory testing.

If your result is outside the lab’s reference interval, your clinician may recommend a fasting repeat test, a complete amino acid profile, or related tests such as ammonia or urine studies. Tell your care team about any supplements or diet changes before testing. Most findings can be addressed with targeted nutrition, medications, or additional evaluation, and your clinician will discuss a plan that fits your situation.

Reference ranges

20271 umol/g cr
All sexes
0 days – 1 month
43120 umol/L
All sexes
0 days – 2 years
832 umol/L
All sexes
0 days – 150 years
0233 umol/g cr
All sexes
1 month – 6 months
075 umol/g cr
All sexes
6 months – 4 years
4690 umol/L
All sexes
2 years – 6 years
660 umol/g cr
All sexes
4 years – 10 years
5099 umol/L
All sexes
6 years – 14 years
-- umol/g cr
All sexes
10 years – 13 years
660 umol/g cr
All sexes
13 years – 150 years
68128 umol/L
All sexes
14 years – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Arginine

  • Fasting and recent diet

    Eating protein shortly before the test can raise arginine temporarily. A fasting sample reduces meal-related swings and improves interpretation.

  • Supplements and medications

    L-arginine, citrulline, or ornithine supplements and certain drugs that affect nitric oxide pathways can change arginine levels. Share all products you take.

  • Sample handling and timing

    Delayed processing, improper storage, or hemolysis can alter amino acid measurements. Prompt separation and correct freezing improve accuracy.

  • Liver and kidney function

    Liver disease can disrupt the urea cycle, while kidney problems can affect clearance. Both can shift arginine independently of diet.

  • Illness, stress, and inflammation

    Infection, trauma, or surgery can change protein breakdown and amino acid use, leading to temporary increases or decreases in arginine.

  • Age and special populations

    Normal arginine levels vary with age, growth, and in newborns. Children and adults are interpreted differently, and pregnancy may alter metabolism.

2026

References

  1. McGill University Health Centre. (2015, February 04). Arginine (Task CD 693140). Laboratory reference ranges.
  2. McGill University Health Centre. (2006, September 13). Arginine (Task CD 693425). Laboratory reference ranges.
  3. Häberle, J., Burlina, A., Chakrapani, A., Dixon, M., Karall, D., Lindner, M., Morris, A. A., & Santer, R. (2019). Suggested guidelines for the diagnosis and management of urea cycle disorders: First revision. Journal of Inherited Metabolic Disease.
  4. ARUP Consult. (2023). Inherited disorders of amino acid metabolism: Laboratory testing overview.