Urinalysis, Macroscopic
A broad dipstick screen of urine chemistry that flags kidney, urinary, metabolic, and liver issues at once.
Consider this test if:
- Setting a general health baseline or doing a routine checkup
- Burning, urgency, cloudy urine, or other signs of a possible urinary tract infection
- Tracking kidney or metabolic health with a known history of diabetes or high blood pressure
- Unexplained fatigue, excessive thirst, or frequent urination worth a first-pass check
- Following up on visibly dark, red, or foamy urine
- HSA/FSA eligible
- Results delivered to your dashboard · Reviewed by a real clinician
- Drawn at a CLIA/CAP-accredited lab near you ·
Pre-test considerations
No fasting required. A clean-catch midstream sample is preferred, and a first-morning specimen is most concentrated for screening. Vitamin C supplements can mask glucose and blood readings, beets and some medications can change urine color, and a recent heavy vitamin B intake can tint the sample. For women, testing outside menstruation avoids blood contamination.
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What this test is for
Macroscopic urinalysis is a reagent-strip and visual screen of urine that reads 11 properties at once: color, clarity, concentration (specific gravity), pH, glucose, ketones, protein, bilirubin, nitrite, leukocyte esterase, and occult blood. Each marker points somewhere useful: protein and blood toward kidney or urinary-tract issues, nitrite and leukocyte esterase toward urinary infection, glucose and ketones toward blood-sugar problems, bilirubin toward liver or bile flow. It is a fast, low-cost first look that tells you whether anything warrants a closer, more specific test.
This is the full multi-marker panel. The single-analyte versions in our catalog (Bilirubin, Urine; Glucose, Qualitative, Urine; Specific Gravity, Urine) isolate one of these strip readings when you have a focused question rather than a general screen.
Biomarkers tested
Includes 11 biomarkers
This dipstick check flags whether bilirubin, a breakdown product of old red blood cells that your liver normally processes into bile, is leaking into your urine. Healthy urine carries none of it, so a positive result points to conjugated bilirubin backing up into the bloodstream, a sign of bile duct obstruction, hepatitis, or other liver dysfunction. It's a useful piece of the puzzle when you're investigating dark urine, yellowing skin or eyes, pale stools, itching, or unexplained fatigue, and it often shows up on the same strip as urobilinogen for a fuller read on liver and bile flow.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This dipstick test checks whether glucose is spilling into your urine, which normally shouldn't happen because your kidneys reclaim virtually all of it back into the blood. Glucose shows up in urine when blood sugar climbs high enough to overwhelm that reabsorption, most often from undiagnosed or poorly controlled diabetes. It's a quick, low-cost flag rather than a precise reading, so a positive result points you toward blood-based tests like fasting glucose or A1c to confirm what's actually happening.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This dipstick screen detects hemoglobin in urine, the protein that carries oxygen in red blood cells and, when present in urine, signals that blood is leaking somewhere along the kidneys or urinary tract. A positive result points to causes ranging from kidney irritation, UTIs, kidney stones, or strenuous exercise, to more serious conditions like kidney disease that warrant follow-up. It is a simple way to catch silent urinary tract or kidney issues before symptoms like pain, changes in urination, or visible blood appear.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This dipstick test detects ketones spilling into urine when the body burns fat for fuel instead of glucose. It's useful for tracking a ketogenic or low-carb diet, confirming your body has shifted into fat-burning mode, or checking on a fasting protocol. Unexplained positive results paired with high blood sugar, excessive thirst, or fatigue warrant prompt follow-up, since that combination can signal diabetic ketoacidosis rather than diet-driven ketosis.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
Leukocyte esterase is an enzyme released by white blood cells, and this dipstick test detects it in urine as a marker of inflammation in the urinary tract. A positive result signals that neutrophils have shown up to fight something, usually a urinary tract infection, and often shows up alongside symptoms like burning with urination, urgency, frequency, or pelvic discomfort. It pairs with urine nitrites and a urinalysis to confirm infection and decide whether further culture or treatment is needed.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This dipstick reading detects nitrite in urine, produced when certain bacteria (E. coli and other common culprits) convert dietary nitrate into nitrite as they multiply. A positive result signals a likely urinary tract infection and pairs with leukocyte esterase to confirm it, useful when you're tracking down burning urination, urgency, frequency, or pelvic discomfort. It's also a quick proactive check if you're prone to recurrent UTIs and want to catch one early, before it climbs to the kidneys.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
This measures how acidic or alkaline your urine is, a quick readout of how your kidneys manage acid-base balance and a marker that shifts with diet, hydration, and metabolic state. Persistently low (acidic) urine is linked to kidney stone formation, particularly uric acid stones, while high (alkaline) urine points to certain infections or renal tubular issues and can favor calcium phosphate stones. If you've had kidney stones before, get recurring UTIs, or are dialing in a diet (high protein, keto, or heavy produce intake) and want to see how it's shifting your body's chemistry, this is a fast way to check.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Concentration
Specific gravity measures how concentrated your urine is, comparing it to the density of pure water, and it reflects how well your kidneys balance water and dissolved solutes. High values point to dehydration or concentrated urine, while very low values suggest overhydration or a kidney's reduced ability to concentrate urine at all. It's a quick check for hydration status when you're tracking fluid intake around training, and a useful clue when investigating dark urine, low urine output, or unexplained thirst and fatigue.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Specific gravity
This records whether urine looks clear, cloudy, or turbid, one of the basic visual checks in a urinalysis. Cloudy urine points to crystals, mucus, white blood cells, bacteria, or excess protein, and often accompanies urinary tract infections, kidney stones, or dehydration. Pairing it with urine color, specific gravity, and microscopy turns a simple visual cue into a fast first read on hydration and urinary tract health.
- Specimen
- Urine
- Measures
- Appearance
Urine color is a simple visual observation, part of a standard urinalysis, that reflects hydration, diet, medications, and sometimes blood or bile in the urine. Pale yellow signals good hydration, while dark amber urine points to concentrated urine and dehydration, and red, brown, or tea colored urine can flag blood, muscle breakdown, or liver issues that warrant a closer look. It's a quick baseline check alongside other urine markers, or a useful clue when investigating unusual fatigue, dark urine, or changes in urination.
- Specimen
- Urine
- Measures
- Color
This dipstick check flags whether protein is spilling into your urine at all, a quick presence or absence read rather than a precise count. Healthy kidneys keep protein locked in the blood, so a positive result signals that the filtering units are leaking and deserves a closer look with a quantitative test like urine albumin to creatinine ratio. It's a useful baseline for anyone tracking kidney health alongside blood pressure or blood sugar, and a natural next step if you've noticed foamy urine, swelling in the legs or eyes, or unexplained fatigue.
- Specimen
- Urine
- Method
- Test strip
- Measures
- Presence / threshold
What to expect
- 1 Book instantly
Click, book, done. Choose a convenient lab location near you. Transparent, up-front pricing.
- 2 Quick lab visit
Testing to fit your busy schedule, usually 15 minutes or less. Walk-in and appointments available.
- 3 Fast, dashboard-delivered results
Your results post straight to your dashboard as soon as the lab completes them.
- 4 Expert guidance
Included with Mito membership. A clinician reviews your results and your personalized action plan follows, with clear next steps.
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Frequently asked questions
View all FAQsHow does pricing work?
Every test shows the member price next to the standard non-member price, so you can see what membership saves you. The member price is our cost — covering the lab and what it takes to run the service — never a profit on the test itself; Mito makes its money on the $9 membership, not on marking up your tests. Membership is $9/mo, and you still pay the lab’s order fee. Prices are itemized before you pay, with no hidden fees.
Where do I get tested?
Choose a partner lab (Quest, Labcorp, or BioReference) at checkout. If your cart spans multiple tests, we consolidate the whole order onto a single lab so you only make one visit.
Is this eligible for HSA/FSA?
Yes. This test is HSA/FSA eligible, and you can pay with your HSA/FSA card at checkout.
When will I get my results?
Your results post to your dashboard once your lab completes them, then a clinician reviews them and your full analysis and personalized action plan (with clear next steps) follow. Turnaround varies by test: specialty assays and at-home kits take longer, and each test shows its expected turnaround before you buy.
Do I need a doctor’s order?
No. Mito provides the lab order for you, so you can book and get tested without a separate doctor visit.
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