Organic Acids Test (OAT) (urine)
$345.00
A Nutritional and Metabolic Snapshot
Organic acids are acidic byproducts of cellular metabolism that are produced by living organisms—including humans, bacteria, and fungi—and are typically excreted in urine. These compounds are the downstream products of various metabolic pathways, such as microbial activity, energy production, detoxification, neurotransmitter synthesis, and nutrient metabolism. When metabolic pathways function efficiently, organic acids are processed and excreted at expected levels. But if enzymatic function is impaired, nutrient cofactors are deficient, or toxins/ microbial byproducts inhibit pathways, these can become blocked, causing abnormal organic acid buildup in urine.
The Organic Acids Test (OAT) provides a comprehensive nutritional and metabolic snapshot of an individual’s overall health. The OAT measures 76 organic acids from one easy to collect urine sample.
Description
Why Run an Organic Acids Test (OAT)?
The OAT helps bridge the gap between symptoms and metabolic health, guiding practitioners toward personalized interventions.​
​The OAT provides insight into six key clinical categories. This allows practitioners to quickly identify patterns of dysfunction across metabolic pathways, organic acid testing supports a functional and integrative approach to patient care, helping individuals better understand their unique biochemistry and optimize their health journey.
- Microbial Overgrowth Markers of yeast, mold, bacteria, Clostridium species, and their metabolic byproducts.​
- ​Mitochondrial Health Intermediates of glucose, fatty acid, and amino acid metabolism involved in energy production​
- ​Neurotransmitter Metabolites Dopamine, serotonin, and norepinephrine/ epinephrine pathway metabolites, providing insights into neurotransmitter imbalances.​
- ​Methylation / Detoxification Metabolites reflecting methyl group cycling, glutathione status, and nutrients involved in both methylation and detoxification.
- Nutrient Needs Direct and indirect biomarkers reflecting the functional demand for B-vitamins, antioxidants, and other key micronutrients.
- Toxic Exposure Provides insights into metabolites influenced by heavy metals, environmental toxins or mold/mycotoxin exposures, and associated oxidative stress and glutathione depletion.
Please Carefully Note Before Placing Your Lab Order
- All lab test sales are final. Once an order is placed, refunds, cancellations, exchanges, and chargebacks are not permitted, except where required by law.
- Cellular Advisory does not participate in, bill, accept assignment from, or coordinate with private insurance plans. We do not provide superbills and are unable to assist with insurance claims, reimbursement requests, or claim resolution related to laboratory testing, consultations, or related services.
- Lab kits cannot be shipped to P.O. boxes. Please provide a valid residential or business shipping address at checkout.
- After your lab test order is placed, you are responsible for carefully reviewing all instructions, completing any required sample collection or lab draw, and returning the specimen according to the laboratory’s requirements.
- All laboratory testing is performed by independent third-party laboratories, including but not limited to Mosaic Diagnostics and ZRT Laboratory, when applicable. Cellular Advisory does not operate these laboratories and is not responsible for laboratory processing times, rejected samples, delayed shipments, incomplete submissions, or laboratory-specific requirements.
- After your order is completed, you will receive follow-up instructions by email or through the applicable lab portal. Please review those instructions carefully before beginning your test.
See full list of markers below:
- Citramalic Acid
- 5-Hydroxymethyl-2-furoic Acid
- 3-Oxoglutaric Acid
- Furan-2,5-dicarboxylic Acid
- Furancarbonylglycine
- Tartaric Acid
- Arabinose
- Carboxycitric Acid
- Tricarballylic Acid
- 2-Hydroxyphenylacetic Acid
- 4-Hydroxyphenylacetic Acid
- 4-Hydroxybenzoic Acid
- 4-Hydroxyhippuric Acid
- Hippuric Acid
- 3-Indoleacetic Acid
- Succinic Acid
- HPHPA (Clostridia marker)
- 4-Cresol (C. difficile)
- DHPPA (beneficial bacteria)
- Glyceric Acid
- Glycolic Acid
- Oxalic Acid
- Lactic Acid
- Pyruvic Acid
- 2-Hydroxybutyric Acid
- Fumaric Acid
- Malic Acid
- 2-Oxoglutaric Acid
- Aconitic Acid
- Citric Acid
- Homovanillic Acid (HVA)
- Vanillmandelic Acid (VMA)
- HVA/VMA Ratio
- 5-Hydroxyindoleacetic Acid (5-HIAA)
- Quinolinic Acid
- Kynurenic Acid
- HVA/DOPAC Ratio
- Dihydroxyphenylacetic (DOPAC)
- Uracil
- Thymine
- 3-Hydroxybutyric Acid
- Acetoacetic Acid
- 4-Hydroxybutyric Acid
- Ethylmalonic Acid
- Methylsuccinic Acid
- Adipic Acid
- Suberic Acid
- Sebacic Acid
- Methylmalonic Acid (Vitamin B12)
- Pyridoxic Acid (Vitamin B6)
- Pantothenic Acid (Vitamin B5)
- Glutaric Acid (Vitamin B2-Riboflavin)
- Ascorbic Acid (Vitamin C)
- 3-OH-3-Methylglutaric Acid (Vitamin Q10/CoQ10)
- N-Acetylcysteine (Glutathione precursor and chelating agent)
- Methylcitric Acid (Vitamin H-Biotin)
- Pyroglutamic Acid
- Orotic Acid
- 2-Hydroxyhippuric Acid
- 2-Hydroxyisovaleric Acid
- 2-Oxoisovaleric Acid
- 3-Methyl-2-oxovaleric Acid
- 2-Hydroxyisocaproic Acid
- 2-Oxoisocaproic Acid
- 2-Oxo-4-methiolbutyric Acid
- Mandelic Acid
- Phenyllactic Acid
- Phenylpyruvic Acid
- Homogentisic Acid
- 4-Hydroxyphenyllactic Acid
- N-Acetylaspartic Acid
- Malonic Acid
- 3-Methylglutaric Acid
- 3-Hydroxyglutaric Acid
- 3-Methylglutaconic Acid
- Phosphoric Acid










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