Method: GC-MS (Gas Chromatography/Mass Spectrometry) measuring organic acid metabolites in urine (CLIA 17D0919496); not cleared or approved by the FDA. Results in mmol/mol creatinine. Not a stand-alone diagnosis; should be interpreted in clinical context.
Orotic acid is connected to the urea cycle that clears ammonia, the toxic waste from protein breakdown, accumulating when the system is strained.



