Newcastle Laboratories

Trimethylamine / Trimethylamine-n-oxide

Clinical Background:

For the diagnosis of Trimethylaminuria (aka Fish Odour Syndrome)

For the diagnosis of Trimethylaminuria (aka Fish Odour Syndrome)

Test Details

  • Discipline:

    Biochemistry

    Biochemistry

  • Specimen Container Adult:

    Urine - acidified

    Urine - acidified

  • Specimen Container Paediatric:

    Urine - acidified

    Urine - acidified

  • Minimum Volume Adult:

    20 mL

    20 mL

  • Minimum Volume Paediatric:

    20 mL

    20 mL

  • Special Requirement:

    Random urine must be acidified to pH <2 with 6M hydrochloric acid ASAP after arrival in the lab
    Collect 24 hour urine in HCl containing container


    Recommend patients have a 'choline load' the day bef...

    Random urine must be acidified to pH <2 with 6M hydrochloric acid ASAP after arrival in the lab
    Collect 24 hour urine in HCl containing container


    Recommend patients have a 'choline load' the day before their first urine collection - e.g. 2 meals containing 2 eggs + 400g beans - [50%less for children under 10]

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  • Sample Stability:

    Freeze sample

    Freeze sample

  • Transport Requirements:

    Sample sent frozen

    Sample sent frozen

  • Reference Ranges:

    TMA: < 7.7 μmol/mmol creatinine
    TMANO: < 119μmol/mmol creatinine
    % N-oxidation: > 90-94%

    TMA: < 7.7 μmol/mmol creatinine
    TMANO: < 119μmol/mmol creatinine
    % N-oxidation: > 90-94%

  • Other Info:

    Dimethylglycine is no longer part of the profile. If required, it must be requested separately.

    Dimethylglycine is no longer part of the profile. If required, it must be requested separately.

  • Routine Contact Name:

    Duty Biochemist

  • Routine Telephone:

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

  • Routine Email:

  • Specialist Test:

    Yes

    Yes

  • Specialist Contact Name:

    Metabolic Clinical Scientist

    Metabolic Clinical Scientist

  • Specialist Telephone:

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

    0191 282 9685 (Consultant Clinical Scientist)

    0191 282 0334 (Metabolic Laboratory)

  • Specialist Email:

Availability:

Sample sent to an external laboratory for testing

Send To:

Department of Blood Sciences

Level 3
Leazes Wing
Royal Victoria Infirmary
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP

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