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ADMA Test

ADMA Test

February 2, 2026
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Do I need an ADMA test?

Struggling with poor circulation, stubborn high blood pressure, or cardiovascular concerns that won't improve despite your best efforts?

ADMA (asymmetric dimethylarginine) is a compound that can restrict blood flow by limiting nitric oxide production. Elevated levels may contribute to endothelial dysfunction and increased cardiovascular risk.

Testing your ADMA gives you a valuable snapshot of your vascular health, helping pinpoint whether this hidden factor is affecting your circulation and heart health. It's the first step toward personalizing your treatment plan and making targeted lifestyle changes that actually address the root cause.

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Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of ADMA testing

  • Reveals how well your blood vessels relax and deliver oxygen throughout your body.
  • Flags early cardiovascular risk before symptoms like chest pain or fatigue appear.
  • Explains stubborn high blood pressure that doesn't respond well to standard treatment.
  • Guides personalized strategies to protect heart and kidney health over time.
  • Tracks vascular inflammation and oxidative stress that accelerate aging and disease.
  • Clarifies metabolic imbalances linked to diabetes, insulin resistance, and chronic kidney disease.
  • Best interpreted alongside lipid panels, kidney function tests, and your clinical symptoms.

What is ADMA?

ADMA (asymmetric dimethylarginine) is a small molecule produced naturally inside your cells when proteins break down. It forms when an amino acid called arginine gets chemically modified with methyl groups, then released during normal protein turnover. Every cell in your body makes ADMA, and it circulates in your bloodstream.

ADMA blocks your body's master relaxation signal

ADMA acts as a brake on nitric oxide, a crucial signaling molecule that relaxes blood vessels and keeps them flexible. It does this by blocking the enzyme (nitric oxide synthase) that produces nitric oxide from arginine. When ADMA levels rise, blood vessels become stiffer and less able to dilate properly.

A window into vascular health

Because ADMA interferes with nitric oxide production, it serves as a marker of endothelial function - the health of the delicate inner lining of your blood vessels. Elevated ADMA reflects oxidative stress, inflammation, and impaired vascular relaxation, making it a biomarker of cardiovascular risk and metabolic dysfunction.

Why is ADMA important?

ADMA (asymmetric dimethylarginine) is a naturally occurring molecule that blocks nitric oxide production in your blood vessels. Nitric oxide keeps arteries relaxed and blood flowing smoothly, so when ADMA rises, your vascular system stiffens, blood pressure climbs, and oxygen delivery to organs falters. This biomarker reflects the health of your endothelium - the inner lining of every artery - and predicts cardiovascular risk more precisely than cholesterol alone.

Normal ADMA levels typically range from 0.4 to 0.7 micromoles per liter, with optimal values sitting toward the lower end. Higher values within or above this range signal endothelial dysfunction, insulin resistance, and chronic inflammation.

When ADMA stays low, your arteries stay flexible

Values at the lower end of normal reflect robust nitric oxide activity and healthy endothelial function. Blood flows freely, blood pressure remains stable, and tissues receive oxygen efficiently. This state supports metabolic health, cognitive clarity, and cardiovascular resilience across the lifespan.

Elevated ADMA tightens the vascular system

When ADMA rises, nitric oxide drops and arteries constrict. This drives hypertension, accelerates atherosclerosis, and impairs kidney filtration. Symptoms may include fatigue, poor exercise tolerance, and cognitive fog. Women with preeclampsia and individuals with diabetes or chronic kidney disease often show marked elevations.

ADMA connects metabolism, inflammation, and long-term vascular aging

Because ADMA integrates oxidative stress, kidney function, and metabolic health, it serves as a window into systemic aging. Persistently high levels forecast heart attack, stroke, and progressive organ damage, making it a powerful marker of biological - not just chronological - age.

What do my ADMA results mean?

Low ADMA levels

Low values usually reflect efficient clearance of this endogenous nitric oxide inhibitor, which generally supports healthy vascular function. ADMA is produced during normal protein turnover and is primarily broken down by the enzyme DDAH. When ADMA levels are low, nitric oxide signaling tends to be preserved, allowing blood vessels to relax and dilate appropriately. This is typically seen in metabolically healthy individuals with good kidney function and low oxidative stress. Low ADMA is not considered a clinical concern and may indicate favorable endothelial health.

Optimal ADMA levels

Being in range suggests balanced nitric oxide regulation and healthy endothelial function. ADMA levels that sit in the lower half of the reference range are generally associated with better vascular responsiveness and lower cardiovascular risk. Optimal values reflect efficient enzymatic breakdown of ADMA and minimal accumulation from inflammation or metabolic stress.

High ADMA levels

High values usually reflect impaired breakdown or increased production of this nitric oxide inhibitor, leading to reduced vascular relaxation and endothelial dysfunction. Elevated ADMA is commonly seen with kidney impairment, insulin resistance, chronic inflammation, oxidative stress, and cardiovascular disease. It contributes to arterial stiffness and reduced blood flow.

Factors that influence ADMA

ADMA rises with age, kidney dysfunction, diabetes, and inflammatory conditions. It may also be elevated during acute illness or with certain medications that affect renal clearance or oxidative balance.

Method: Laboratory-developed test (LDT) validated under CLIA; not cleared or approved by the FDA. Results are interpreted by clinicians in context and are not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
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Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about ADMA Test

What is ADMA (asymmetric dimethylarginine) and how is it produced in the body?

ADMA is a naturally occurring small molecule made inside your cells during normal protein breakdown. It forms when the amino acid arginine is chemically modified (methylated) and then released into the bloodstream during routine protein turnover. Because every cell produces it, ADMA circulates throughout the body. Its main clinical importance is that it can interfere with nitric oxide production, making it a useful biomarker of endothelial (blood vessel lining) function.

How does ADMA reduce nitric oxide and affect blood vessel relaxation?

ADMA acts like a brake on nitric oxide signaling by blocking nitric oxide synthase, the enzyme that converts arginine into nitric oxide. Nitric oxide is the body’s key “relaxation signal” for arteries, helping blood vessels dilate and stay flexible. When ADMA levels rise, nitric oxide availability drops, arteries become stiffer, and blood flow regulation worsens - contributing to vasoconstriction, higher blood pressure, and impaired oxygen delivery to tissues.

Why is ADMA testing considered an early marker of cardiovascular risk?

ADMA testing is valuable because it reflects endothelial dysfunction before classic symptoms appear. Elevated ADMA indicates reduced nitric oxide bioavailability, which can drive hypertension, accelerate atherosclerosis, and increase the risk of heart attack and stroke. Since oxidative stress and inflammation can raise ADMA, it also serves as an early “window” into vascular aging and silent vascular damage that may develop years before clinical cardiovascular disease is diagnosed.

What are the key benefits of ADMA testing for blood pressure, heart health, and kidney protection?

ADMA testing helps assess how well your blood vessels relax and deliver oxygen. It can flag early cardiovascular risk, explain stubborn high blood pressure that responds poorly to standard treatment, and guide more personalized long-term strategies for heart and kidney protection. Because ADMA is connected to oxidative stress, vascular inflammation, and metabolic dysfunction, tracking it can also help monitor processes that accelerate aging, arterial stiffness, and kidney strain over time.

What does a high ADMA result mean, and what conditions are commonly linked to elevated ADMA?

High ADMA usually indicates impaired clearance or increased production of this nitric oxide inhibitor, leading to endothelial dysfunction and reduced vascular dilation. Elevated ADMA is commonly associated with oxidative stress, chronic kidney disease, insulin resistance, and cardiovascular disease. It contributes to vasoconstriction, arterial stiffness, and systemic inflammation, and is considered an independent marker of cardiovascular risk. ADMA also tends to rise with age and metabolic dysfunction.

What does a low ADMA level mean, and is there an ADMA deficiency syndrome?

Low ADMA typically reflects efficient clearance (often via the DDAH enzyme system) and supports healthier nitric oxide signaling and endothelial function. In most clinical contexts, low ADMA is considered favorable and not linked to disease. The body tightly regulates ADMA production and clearance, and the context indicates there is no recognized clinical syndrome of ADMA deficiency. Many interpretations focus on whether ADMA is elevated rather than “too low.”

What is the optimal ADMA range, and why are lower-in-range values often preferred?

Being within the reference range suggests balanced ADMA production and clearance, supporting normal nitric oxide availability and vascular tone. The context emphasizes that “optimal” values tend to sit toward the lower end of the reference range, which may reflect efficient enzymatic degradation and lower oxidative stress. Lower-in-range ADMA generally aligns with better endothelial health, healthier blood pressure regulation, and more resilient microvascular function across organs.

Which symptoms might be associated with elevated ADMA and impaired endothelial function?

Elevated ADMA can reduce blood flow and worsen vascular tone, sometimes producing early, nonspecific signs of poor circulation. The context notes possible symptoms such as fatigue, cold extremities, or erectile dysfunction. Over time, persistent endothelial dysfunction can contribute to hypertension, arterial stiffness, and higher cardiovascular risk. Because these symptoms have many causes, ADMA is typically used as a biomarker alongside clinical evaluation rather than as a stand-alone diagnosis.

How is ADMA connected to insulin resistance, diabetes risk, and chronic kidney disease?

ADMA links metabolic dysfunction and vascular health by reflecting oxidative stress and inflammation that impair nitric oxide signaling. High ADMA is commonly associated with insulin resistance and metabolic imbalance, and it is also strongly tied to chronic kidney disease because clearance mechanisms may be reduced. Since endothelial dysfunction affects microvascular blood flow to organs, elevated ADMA can help clarify why cardiometabolic issues - like insulin resistance and kidney impairment - often cluster together.

What else should be checked with ADMA testing, and why are trends more helpful than one result?

ADMA is best interpreted alongside lipid panels, kidney function tests, and your clinical symptoms because it sits at the intersection of vascular function, inflammation, and renal clearance. The context also notes assay variability, meaning different tests or labs may not match perfectly. For that reason, tracking trends over time - ideally using the same laboratory - can be more informative than a single value, especially when monitoring vascular inflammation and oxidative stress changes.

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