Collection Instructions


Collection Method


Kit Requirements

Spot Urine

Turn Around Time

12 business days Turnaround times are estimates


Sample Report


The organic acids test is a simple urine test that looks at biomarkers from various metabolic pathways. These biomarkers give an overview of several major systems in the body and an analysis of nutritional deficiencies in the body. The organic acid test is a nutritional test providing insights into the body’s cellular metabolic processes. Organic acids are metabolic intermediates that are produced in pathways of central energy production, detoxification, neurotransmitter breakdown, or intestinal microbial activity. Marked accumulation of specific organic acids detected in urine often signals a metabolic inhibition or block. The metabolic block may be due to a nutrient deficiency, an inherited enzyme deficit, toxic build-up or drug effect.

The Organic Acids metabolic test is the preferred test used in clinical practice as many functional medicine practitioners believe the metabolic panel provides remarkable data about a patient from one simple urine collection kit. This test assess a wide range of cellular and physiological processes including intestinal dysbiosis, energy production, nutrient cofactor requirements and neurotransmitter metabolism. By evaluating organic acid levels and pinpointing the metabolic dysfunctions occurring at the cellular level, a comprehensive, customised treatment strategy can be tailor-made for each individual patient.

This test is the single most comprehensive test in evaluating:
• Citric acid cycle abnormalities
• B-group vitamin utilisation
• Neurotransmitter abnormalities
• CoQ 10 sufficiency
• Amino acid insufficiencies
• GUT Dysbiosis
• Yeast infestation
• Nutritional deficiencies
• Fatty acid metabolism

Additional information

Krebs/Citric Acid Cycle (Test Code: 4013)

Lactic acid, Pyruvic acid, Citric acid, cis-aconitic acid, Isocitric acid, α-ketoglutaric acid, Fumaric acid, Malic acid.

Environmental Pollutants (Test Code: 4014)

Metabolites of Benzene, Xylene, Toluene, Trimethylbenzene, Styrene, Phthalate exposure.

Ketone/Fatty Acid Metabolites (Test Code: 4015)

Adipic acid, Suberic acid, β-hydroxy-β-methyglutaric acid (HMG), β-hydroxybutyric acid.

Metabolic Profile (Test Code: 4016)

Organic acids for Intestinal dysbiosis (i.e. Test Code: 2013), Citric acid cycle metabolites (i.e. Test Code: 4013), Ketone/fatty acid metabolites (i.e. Test Code: 4015), Cofactor sufficiency markers, Neurotransmitter metabolites (HVA, VMA, 5HIAA).

Metabolic & Environmental Pollutants (Test Code: 4017)

Organic acids for Intestinal dysbiosis (i.e. Test Code: 2013), Citric acid cycle metabolites (i.e. Test Code: 4013), Ketone/fatty acid metabolites (i.e. Test Code: 4015), Cofactor sufficiency markers, Neurotransmitter metabolites (HVA, VMA, 5HIAA) AND Environmental Pollutants (i.e. Test Code: 4014)


  • 2-Methylhippuric Acid
  • 3-OH-Proprionic Acid
  • 4-Cresol
  • 5-Hydroxyindoleacetic Acid (5HIAA)
  • 8 OH-deoxyguanosine
  • a-Keto-b-Methylvaleric Acid
  • a-Ketoglutaric Acid
  • a-Ketoisocaproic Acid
  • a-Ketoisovaleric Acid
  • a-OH-Butyric Acid
  • Adipic Acid
  • Arabinitol
  • Ascorbic Acid (Vit C)
  • B-Complex Vitamins & Amino Acid
  • b-OH-b-Methylglutaric Acid
  • b-OH-Butyric Acid
  • Benzoate (OA)
  • beta-Hydroxyisovaleric Acid
  • Biotin (Vit H)
  • CARBOHYDRATE Metabolism/Glycolysis
  • cis-Aconitic Acid
  • Citramalic Acid
  • Citric Acid
  • Citric acid cycle metabolites
  • CoEnzyme-Q10 (CoQ10)
  • Cortisol (OA)
  • creatinine
  • D-Lactate
  • Detoxification Indicators
  • Dihydroxyphenylpropionic Acid
  • Ethylmalonic Acid
  • Fumaric Acid
  • Glucaric Acid
  • Glucose (OA)
  • Glutaric Acid (Vit B2)
  • Glyceric Acid
  • Glycolic Acid
  • Hippurate (OA)
  • Homovanillic Acid (HVA)
  • Indoleacetic Acid
  • Isocitric Acid
  • Ketone/fatty acid metabolites
  • Kynurenic Acid
  • L. acidophilus/General Bacteria
  • Lactic Acid
  • Malic Acid
  • Methyl-Succinic Acid
  • N-Acetylcysteine (NAC)
  • Organic acids
  • Orotic Acid
  • Oxalic Acid
  • Oxidative Damage/Antioxidant Markers
  • p-HydroxyPhenylacetate
  • Pantothenic Acid (Vit B5)
  • ParaHydroxyBenzoate
  • ParaHydroxyphenyllactate
  • Phenylacetate
  • Phenylpropionate
  • Picolinic Acid
  • Pimelic Acid
  • Pyridoxic Acid (Vit B6)
  • Pyroglutamic Acid
  • Pyruvic Acid
  • Quinolinic Acid (OA)
  • Suberic Acid
  • Succinic Acid
  • Tartaric Acid
  • Tricarballylate
  • Vanillylmandelic Acid (VMA)
  • Xanthurenic Acid

Test Method

LCMS/MS/MS (Liquid chromatography mass spectrometry)

Common Conditions

  • Gastrointestinal and Digestive Health
    • Acid reflux
    • Bloating, gas and distention
    • Nausea
  • Autoimmune and Immune System
    • Autoimmune disorders
  • Cardiovascular Health
    • Blood sugar dysregulation
  • Other Health Conditions
    • Dermatitis
    • Fatigue
    • Joint pain
    • Mood changes
    • Multiple chemical sensitivity
  • Nutritional and Dietary Symptoms
    • Weight gain

Notice To Patients

NutriPATH practices in the usual practitioner-referral system for pathology laboratories. Patients are highly recommended to seek the supervision and guidance of a qualified healthcare practitioner for the interpretation of any lab results and associated information. NutriPATH can offer assistance in locating a suitable practitioner.

Find a Practitioner

How it works

Step 1

Order test

Your referring practitioner will place this order via their online portal.

Step 2

Collect Samples

A test kit will be dispatched to you and you can conveniently collect your sample in the comfort of your home.

Step 3

Return Samples

Return samples for analysis via the provided courier packaging.

Patient resources

Our highly skilled and qualified team have created a service where patients can easily gain access to a wide range of pathology testing options.

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Practitioner resources

As a leader in the industry, practitioners are able to trust in our ability to provide them with the technology they need to adequately test their clients and patients.

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