Add-on · Kidneys
A urine ACR (albumin/creatinine ratio) test checks for small amounts of albumin leaking into your urine, the earliest sign of kidney damage, often years before blood tests change. It is recommended every year for people with diabetes or high blood pressure. You can add it to TrueVitals Ultimate for £39, or get it included in Signature.
Add-ons are tested on the same blood draw as your panel and reported inside your clinician-reviewed report, read alongside your other 140 results. They are not sold on their own.
Pay in instalments with Klarna or Clearpay at checkout. Want it with Advanced instead? Email support@truevitals.co.uk and we will set it up.
Healthy kidneys keep albumin, the main blood protein, in the blood. When the tiny filters in the kidneys are damaged, small amounts leak into the urine. ACR compares albumin with creatinine in the same sample, which corrects for how concentrated your urine is.
Ultimate's blood tests (creatinine, cystatin C and eGFR) show how well your kidneys filter. ACR shows whether they are leaking. Kidney health is classified using both, and either can be abnormal while the other is normal.
A first-morning urine sample is best, as it is the most consistent. Avoid hard exercise the day before. Ultimate already includes a urine test, so the same sample is used and there is nothing extra to collect.
| Option | Includes it | Price | What else you get |
|---|---|---|---|
| Ultimate + urine ACR | Yes | £438 incl. clinic draw (home visit £467) | Read alongside creatinine, cystatin C, eGFR, HbA1c, fasting insulin and urine protein. Clinician-reviewed report in 4 working days. |
| TrueVitals Signature | Yes | £799 incl. draw | Included as standard, with 230 biomarkers at Randox Health clinics. |
| NHS GP | On request | Free if clinically indicated | Yearly if you have diabetes; also for high blood pressure and kidney disease. |
TrueVitals prices checked 5 November 2026. Every TrueVitals report is clinician-reviewed. Pay in instalments with Klarna or Clearpay. Book a draw at one of 103 partner clinics, or add a home visit.
When to see your GP: a moderately or severely raised ACR, especially with diabetes or high blood pressure, should be shared with your GP, who can repeat it and consider medicines that protect the kidneys. Blood in the urine or swollen ankles also need a GP.
A private panel is a good way to get a baseline, understand a result in context and track it over time. It does not replace your GP for symptoms, and anything that needs follow-up is flagged in plain words in your report.
Urine ACR on its own rarely tells the whole story. In TrueVitals panels it is reported with these related markers:
Not as standard. Ultimate includes creatinine, cystatin C, eGFR and a urine test. You can add urine ACR for £39. Signature includes ACR.
No. The standard urine protein test only detects larger amounts. ACR picks up much smaller amounts of albumin, so it finds kidney damage earlier.
It is best, because it is the most consistent. If that is not possible, any sample can still be tested and your report will take it into account.
Yes. Hard exercise in the previous day or two can raise ACR temporarily, so keep the day before your test light.
It is worth it if you have diabetes, high blood pressure or heart risk factors. Kidneys can leak albumin for years before eGFR falls.
How this page was written: by James Smillie, founder of TrueVitals, reviewed by the TrueVitals clinical review team, using NHS and laboratory reference sources. Ranges are typical values; your report uses your lab's own ranges. TrueVitals sells the panels named on this page, so we have stated plainly what this test cannot do. Last updated 5 November 2026.
Ultimate + urine ACR: £438 including the clinic draw, or £467 with a home visit. Clinician-reviewed report in 4 working days.
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