Increased levels can result from a high-purine diet (red meat, shellfish, organ meats), alcohol use, obesity, dehydration, or certain medications (thiazide diuretics, niacin, cyclosporine). Kidney disease, poor uric acid excretion, or rapid cell turnover from conditions like chemotherapy, leukemia, or psoriasis can also contribute.
Causes of decreased levels include low purine intake or malnutrition; certain kidney tubular disorders; liver disease; medications (including uricosuric agents, or estrogen therapy); and SIADH (syndrome of inappropriate antidiuretic hormone).
Yes. Some at-home finger-prick or mail-in kits measure uric acid, but accuracy may vary. Telehealth providers can interpret results and recommend follow-up labs if needed.
Testing is typically ordered for people with gout symptoms, kidney stones, or kidney-function concerns.
A healthy range (measured in milligrams per deciliter): Generally, for adult men, it’s 4.0- 8.0 mg/d, though exact ranges vary by lab and population
Fasting is not usually required, though some labs ask you to avoid alcohol or heavy meals before testing.
Most labs return results within one to three business days.
The frequency of testing depends on your condition. People with gout or chronic kidney disease may need testing every few months, while others may only need it as needed.
Not necessarily. Many people with hyperuricemia never develop gout.
Can I lower uric acid naturally?
Hydration, limiting purine-rich foods and alcohol, and maintaining a healthy weight can all help. A provider can determine if medication is also necessary.
Most insurance plans cover uric acid testing when medically indicated. However, insurance is not required with lab testing through Hims.
• Creatinine and eGFR (kidney function)
• 24-hour urinary uric acid
• Basic or comprehensive metabolic panel
• Joint fluid (synovial) analysis for urate crystals
• Blood urea nitrogen (BUN)
• C-reactive protein (CRP) or ESR for inflammation
