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Lysine

Immunology & Autoimmune

2,6-diaminohexanoic acidAmino acid, lysineL-LysineLys

Review status

Currently under review

Pending specialist review and validation.

What it shows

Lysine is an essential amino acid, one of the building blocks of proteins that your body cannot make on its own. This test measures the amount of lysine in your blood or urine, often as part of a broader quantitative amino acid panel. It helps show how your body absorbs, uses, and clears lysine.

Lysine supports growth, tissue repair, collagen formation, and the production of carnitine. Your sample may be a fasting blood draw or a urine specimen that is adjusted for creatinine to account for urine concentration.

Why it matters

Lysine levels can be affected by your protein intake, how well you absorb nutrients, and how your liver and kidneys function. The test is also important in evaluating rare inherited conditions that affect amino acid transport or metabolism. Clinicians may order it when there are concerns about growth, nutrition, developmental delays, seizures in infants, or when a metabolic disorder is suspected.

Results can help guide diagnosis, monitor nutrition or special formulas, and assess how well treatment plans are working. When interpreted with other amino acids, the test can provide a clearer picture of underlying health issues that influence protein balance.

Understanding your results

Your result is interpreted alongside your age, the type of sample collected, and the pattern of other amino acids. A value outside the expected range does not always mean disease; recent meals, illness, or strenuous activity can shift amino acid levels. If results are unexpected, your clinician may repeat the test under fasting conditions and review your diet, supplements, and medications.

Depending on the clinical situation, next steps may include a full amino acid profile, urine organic acids, acylcarnitines, or genetic testing, as well as a nutrition assessment. If a hereditary metabolic condition is suspected, working with a metabolic specialist and a dietitian can help tailor management and follow-up.

Reference ranges

4542313 umol/g cr
All sexes
0 days – 1 month
87171 umol/L
All sexes
0 days – 2 years
632 umol/L
All sexes
0 days – 150 years
2841507 umol/g cr
All sexes
1 month – 6 months
3911661 umol/g cr
All sexes
6 months – 1 year
3521083 umol/g cr
All sexes
1 year – 2 years
2791017 umol/g cr
All sexes
2 years – 4 years
88172 umol/L
All sexes
2 years – 6 years
144782 umol/g cr
All sexes
4 years – 7 years
96181 umol/L
All sexes
6 years – 14 years
295963 umol/g cr
All sexes
7 years – 10 years
106819 umol/g cr
All sexes
10 years – 13 years
200667 umol/g cr
All sexes
13 years – 150 years
157242 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 Lysine

  • Fasting and recent diet

    Protein-rich meals, amino acid drinks, or enteral/parenteral nutrition before the test can raise or alter lysine levels. A fasting sample is often recommended for the most reliable interpretation.

  • Specimen type and timing

    Lysine can be measured in plasma or urine, and results differ by specimen type. Morning fasting plasma and properly collected urine normalized to creatinine improve consistency.

  • Sample handling and stability

    Delayed processing, improper storage, or hemolysis can affect amino acid measurements. Prompt separation and freezing according to lab instructions help preserve accuracy.

  • Medications and supplements

    Lysine supplements, high-protein shakes, and some therapies such as corticosteroids or total parenteral nutrition can influence results. Tell your clinician about all products you take.

  • Illness and physiologic stress

    Infection, fever, trauma, or recent surgery can change protein metabolism and shift amino acid patterns, including lysine, for a short period.

  • Kidney and liver function

    Reduced kidney or liver function can alter amino acid concentrations and urinary excretion. Urine results also depend on creatinine, which varies with muscle mass and hydration.

  • Age, growth, and pregnancy

    Expected values vary with age, especially in infants and children. Growth spurts and pregnancy can modestly change amino acid needs and circulating levels.

2026

References

  1. McGill University Health Centre. (2006, September 13). Lysine (Task CD 693421). Laboratory reference ranges.
  2. McGill University Health Centre. (2015, February 04). Lysine (Task CD 693137). Laboratory reference ranges.
  3. McGill University Health Centre. (2015, February 04). Lysine (Task CD 693535). Laboratory reference ranges.
  4. Blau, N., Duran, M., Gibson, K. M., & Dionisi-Vici, C. (Eds.). (2014). Physician's guide to the diagnosis of inherited metabolic diseases (3rd ed.). Springer.
  5. American College of Medical Genetics and Genomics. (2020). ACMG ACT sheets and algorithms for metabolic conditions.