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Urine Leucine

Urinalysis

Leucine, urineU-LeuUrinary Leucine

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the amount of leucine, an essential branched-chain amino acid, in your urine. Because urine can be more or less concentrated, the result is typically reported relative to creatinine to make results easier to compare across different samples.

Leucine is important for protein building and energy use. Measuring it in urine helps clinicians evaluate how your body processes amino acids. It is often ordered together with other branched-chain amino acids, such as isoleucine and valine, as part of a targeted metabolic workup.

Why it matters

Urine leucine can help identify problems with amino acid metabolism or kidney reabsorption, and it is useful in evaluating or monitoring inherited metabolic conditions that affect branched-chain amino acids. It can also reflect nutritional management in people who require specialized diets or medical formulas.

Your clinician may order this test if a newborn screen is abnormal, if there are symptoms concerning for a metabolic disorder, or to monitor a known condition over time. The test uses a urine sample and has minimal risk, but interpretation always considers your age, diet, hydration, overall health, and results of related tests.

Understanding your results

A higher urine leucine result can occur with increased dietary intake, illness-related tissue breakdown, or an inherited condition that affects how your body uses branched-chain amino acids. Dehydration can make urine appear more concentrated, while excess fluid intake can dilute it, which is why results are adjusted to creatinine. Your care team will interpret the value alongside other amino acids, your symptoms, and clinical history.

A lower result is usually not concerning by itself. If you are being treated for a metabolic disorder, your team may focus on patterns over time rather than a single value. Depending on your situation, follow-up may include plasma amino acids, a full urine amino acid profile, genetic testing, or nutrition adjustments. If you feel unwell or have new symptoms, contact your clinician for personalized guidance.

Reference ranges

41220 umol/g cr
All sexes
0 days – 1 month
26209 umol/g cr
All sexes
1 month – 6 months
31183 umol/g cr
All sexes
6 months – 1 year
28136 umol/g cr
All sexes
1 year – 2 years
34217 umol/g cr
All sexes
2 years – 4 years
20105 umol/g cr
All sexes
4 years – 7 years
2388 umol/g cr
All sexes
7 years – 10 years
2790 umol/g cr
All sexes
10 years – 13 years
2059 umol/g cr
All sexes
13 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 Urine Leucine

  • Recent diet and supplements

    High-protein meals, medical formulas, or branched-chain amino acid supplements can raise urine leucine. Tell your clinician about sports supplements, special formulas, or recent dietary changes.

  • Illness and physical stress

    Fever, infections, injury, or surgery increase protein breakdown and can elevate urine leucine. Testing when you are well versus ill may yield different results.

  • Hydration and urine concentration

    Very concentrated or very dilute urine can affect results. Reporting relative to creatinine helps, but providing a typical midstream sample and avoiding extreme fluid intake before collection can improve consistency.

  • Medications and nutrition support

    Corticosteroids, certain hormones, and total parenteral or enteral nutrition can alter amino acid levels. Share your medication list and any tube feeding or specialized nutrition with the lab and clinician.

  • Age-related physiology

    Infants and young children can normally excrete different amounts of amino acids than older children and adults. Age-specific reference intervals are used for interpretation.

  • Kidney function and tubular health

    Conditions that affect kidney tubules, such as generalized aminoaciduria or tubular dysfunction, can increase urinary amino acids. Your clinician may review kidney tests if results are unexpected.

2026

References

  1. McGill University Health Centre. (2015, February 04). Urine Leucine (Task CD 693498). Laboratory reference ranges.
  2. Vockley, J., Andersson, H. C., Antshel, K. M., Braverman, N. E., Burton, B. K., Frazier, D. M., Mitchell, J., Smith, W. E., Thompson, B. H., & Berry, S. A. (2014). Diagnosis and management of maple syrup urine disease: A practice guideline of the American College of Medical Genetics and Genomics. Genetics in Medicine.
  3. Blau, N., Duran, M., Gibson, K. M., & Dionisi-Vici, C. (2014). Physician’s guide to the diagnosis, treatment, and follow-up of inherited metabolic diseases. Springer.