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SDMA Test

SDMA Test

February 2, 2026
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Do I need a SDMA test?

Struggling with unexplained fatigue, nausea, or changes in urination? Could your kidneys be sending you signals, and could an SDMA test help you understand what's happening?

SDMA (symmetric dimethylarginine) is a sensitive marker of kidney function that can detect problems earlier than traditional tests. It reveals how well your kidneys are filtering waste from your blood.

Testing your SDMA gives you a vital snapshot of your kidney health before symptoms become severe. This early insight empowers you to personalize your nutrition, hydration, and lifestyle choices to protect your kidneys and address the fatigue or discomfort you're experiencing.

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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 SDMA testing

  • Spots early kidney damage before creatinine rises or symptoms appear.
  • Flags reduced kidney function even when muscle mass is low.
  • Guides medication dosing to protect kidneys from drug-related harm.
  • Tracks kidney health trends over time in chronic disease or aging.
  • Clarifies unexplained fatigue or fluid retention linked to kidney stress.
  • Best interpreted with creatinine, eGFR, and urinalysis for complete kidney assessment.

What is SDMA?

Symmetric dimethylarginine (SDMA) is a small molecule produced inside every cell of your body during normal protein breakdown. When proteins are recycled, an amino acid called arginine gets chemically modified with two methyl groups, creating SDMA. This happens constantly as part of routine cellular housekeeping.

Your kidneys are the only exit route

Once SDMA is released into your bloodstream, it travels to your kidneys, which filter it out and eliminate it in urine. Unlike many waste products, SDMA depends almost entirely on kidney filtration for removal. Your body doesn't break it down or reabsorb it.

A sensitive mirror of kidney function

Because SDMA clearance relies so heavily on healthy kidney filtration, its blood level reflects how well your kidneys are working. When kidney function declines, SDMA begins to accumulate earlier and more reliably than older markers. This makes it a particularly useful window into kidney health, catching changes that might otherwise go unnoticed until more damage has occurred.

Why is SDMA important?

SDMA (symmetric dimethylarginine) is a small protein byproduct released steadily by every cell in your body and cleared almost exclusively by your kidneys. It offers a remarkably pure window into how well your kidneys are filtering waste, often detecting decline weeks to months earlier than older markers like creatinine. Because it's less affected by muscle mass, diet, or hydration, SDMA reveals kidney function with unusual clarity across all ages and body types.

Your kidneys may be struggling before you feel it

Normal SDMA typically ranges from about 0 to 14, with optimal values sitting at the lower end. When SDMA begins to climb - even within the "normal" range - it signals that your kidneys are losing filtering capacity. You may notice nothing at first, but subtle fatigue, changes in urination, or mild fluid retention can emerge as filtration drops. High values often mean significant kidney impairment, raising risk for cardiovascular strain, electrolyte imbalance, and progressive chronic kidney disease.

Low values are rarely a concern

SDMA below the reference range is uncommon and generally not clinically meaningful. It doesn't indicate a specific disease state or require intervention.

A sentinel for whole-body health

Because your kidneys regulate fluid balance, blood pressure, electrolytes, and red blood cell production, declining kidney function ripples across every system. SDMA's early-warning capacity makes it essential for preventing irreversible damage, especially in people with diabetes, hypertension, or heart disease - conditions that silently erode kidney health over years.

What do my SDMA results mean?

Low SDMA levels

Low values usually reflect robust kidney filtration and adequate muscle mass. SDMA is produced at a steady rate during protein turnover in muscle and other tissues, then filtered exclusively by the kidneys. When levels are low, the glomeruli are clearing it efficiently and there is sufficient lean tissue generating baseline production. This is typical in healthy individuals with normal renal function and preserved muscle.

Optimal SDMA levels

Being in range suggests your kidneys are filtering waste effectively and your muscle metabolism is stable. Most labs define normal as under 15 micrograms per deciliter in adults. Optimal values tend to sit in the lower half of the reference range, reflecting strong glomerular filtration rate without early subclinical decline. SDMA rises earlier than creatinine when kidney function begins to drop, so staying consistently low is reassuring.

High SDMA levels

High values usually reflect reduced kidney filtration capacity. Because SDMA is cleared only by the glomeruli and is not influenced by muscle mass, diet, or hydration status, elevation signals that the kidneys are not removing waste as efficiently as expected. This can occur with acute kidney injury, chronic kidney disease, or conditions that impair renal blood flow. Unlike creatinine, SDMA is less affected by age or body composition.

Factors that influence SDMA

SDMA interpretation is straightforward because it is minimally affected by non-renal factors. It does not vary significantly by sex, muscle mass, or protein intake, making it a cleaner marker of filtration than creatinine in many clinical contexts.

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 SDMA Test

What is SDMA (symmetric dimethylarginine) and how is it produced in the body?

SDMA is a small molecule made inside every cell during normal protein breakdown and recycling. When proteins are processed, the amino acid arginine can be chemically modified with two methyl groups, forming symmetric dimethylarginine (SDMA). This production happens continuously as part of routine cellular housekeeping. SDMA then enters the bloodstream and must be removed by the kidneys, making it a useful marker of kidney filtration.

How does SDMA testing detect early kidney damage before creatinine rises?

SDMA is cleared almost exclusively through kidney filtration, so blood SDMA levels rise as soon as filtering capacity declines. Because it often accumulates earlier and more reliably than creatinine, SDMA can flag reduced kidney function before creatinine increases or symptoms appear. This early signal is especially valuable for spotting “silent” kidney decline and prompting earlier monitoring with creatinine, eGFR, and urinalysis.

Why do the kidneys matter so much for SDMA clearance, and what does that mean for results?

Your kidneys are essentially the only exit route for SDMA. The body doesn’t significantly break SDMA down or reabsorb it; it depends on the glomeruli filtering it into urine. That’s why SDMA functions as a sensitive mirror of kidney filtration: when kidney function falls, SDMA accumulates in the blood. Persistently high SDMA generally points to reduced glomerular filtration rate (GFR).

What is a normal SDMA range, and what is considered an optimal SDMA level?

Normal SDMA values are typically reported around 0 to 14, with optimal levels toward the lower end of that reference range. Staying in range usually suggests stable kidney filtration and healthy nephron reserve. Because SDMA can rise earlier than creatinine, being in the lower half of the reference range is often interpreted as a sign of strong renal clearance and good kidney function trends over time.

What does a high SDMA result mean, and what symptoms might occur with reduced kidney filtration?

High SDMA usually indicates reduced kidney filtration capacity and a decline in GFR. Early on, you may feel no symptoms even as SDMA rises. With worsening kidney stress, symptoms can include fatigue, nausea, poor appetite, fluid retention, and changes in urination. Elevated SDMA can appear with chronic kidney disease, acute kidney injury, dehydration, or conditions that reduce blood flow to the kidneys.

What does a low SDMA result mean, and should I be worried about very low SDMA?

Low SDMA generally reflects robust kidney filtration because SDMA is produced steadily and cleared by the kidneys. Very low SDMA is uncommon in humans and typically isn’t clinically significant. In some cases, it may be seen with reduced muscle mass or lower protein turnover, but the context of your overall kidney assessment matters. Most clinicians focus more on rising or persistently elevated SDMA trends.

How is SDMA different from creatinine, especially in older adults or people with low muscle mass?

Creatinine can be strongly influenced by muscle mass, which may make kidney function look better than it is in frail, elderly, or low-muscle individuals. SDMA is less affected by muscle mass, age, sex, or diet, so it can provide a clearer signal of filtration decline across different body types. For a complete picture, SDMA is best interpreted alongside creatinine, eGFR, and urinalysis.

How should SDMA be interpreted with eGFR, creatinine, and urinalysis for a complete kidney assessment?

SDMA is a sensitive marker of filtration changes, but it’s most useful when combined with other kidney tests. Creatinine and eGFR help estimate overall filtration rate, while urinalysis can reveal protein, blood, or other abnormalities that suggest kidney damage mechanisms. Interpreting SDMA with these markers supports better clinical decisions, including identifying early decline, confirming persistent impairment, and tracking kidney health trends over time.

What factors can affect SDMA results, like dehydration, acute illness, or nephrotoxic medications?

Hydration status and acute illness can shift kidney filtration temporarily, which may cause acute SDMA changes. Dehydration or conditions that reduce renal blood flow can raise SDMA even without long-term kidney damage. SDMA interpretation should also consider nephrotoxic medications, since drug-related kidney stress can impair filtration. Serial SDMA measurements (trends over time) improve accuracy and help distinguish temporary changes from chronic kidney impairment.

How can SDMA testing guide medication dosing and long-term kidney health monitoring?

Because SDMA reflects kidney filtration, it can help clinicians adjust medication dosing to reduce drug-related harm when kidney function is declining. Tracking SDMA over time is useful in chronic disease, aging, or ongoing kidney risk, helping spot early decline before creatinine rises. Longitudinal SDMA trends can support earlier interventions, closer monitoring, and kidney-protective decisions to preserve nephron reserve and long-term organ function.

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