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Kidney & Electrolytes

Cystatin C

Kidney & Electrolytes

Cystatin C

Kidney function marker. More accurate than creatinine, unaffected by muscle mass.

45 SEK

VAT-exempt medical service

  • Results in 5 working days
  • 116 sampling locations
  • No doctor's referral needed
  • Sample: Blood (venous)
Find a sampling location →

What does this test measure?

Cystatin C is produced at a steady rate by virtually all cells in the body and is removed from the blood exclusively by the kidneys. Because its production is not significantly affected by muscle mass, diet, or sex, it provides a more accurate picture of kidney function than creatinine alone. Emerging research also links cystatin C to cardiovascular risk and new-onset diabetes.

Testing cystatin C is recommended when you want an unbiased view of kidney health -- especially if your muscle mass is unusually high or low, making creatinine less reliable. It is also valuable for anyone with risk factors such as heavy alcohol use, a nutrient-poor diet, diabetes, or cardiovascular disease. Repeated measurements help track the effect of lifestyle changes and treatment.

What a high value can mean

Elevated cystatin C corresponds to a decreased glomerular filtration rate (GFR) and points to reduced kidney function. Causes include chronic kidney disease, diabetes, hyperthyroidism, osteoporosis, and systemic inflammation. Recent studies also associate high cystatin C with increased risk of heart failure and mortality.

What a low value can mean

Low cystatin C is rare and not well understood. It may occasionally occur in conditions involving rapid muscle loss or severe malnutrition. Discuss unexpectedly low results with your doctor.

Read more about this marker →

Associated symptoms

  • Reduced urine output
  • Fluid retention and swelling in the legs or ankles
  • Persistent fatigue
  • High blood pressure
  • Nausea or shortness of breath

Who should consider this test

  • People with early-stage or suspected kidney disease
  • Individuals with diabetes or cardiovascular risk factors
  • Elderly people or those with low muscle mass
  • Athletes or highly muscular individuals where creatinine may be misleading
  • Anyone monitoring kidney health over time

Before your appointment

No preparation is needed. Bring valid ID to your appointment.

  • Bring photo ID to the sampling location.
  • You do not need a doctor's referral — your referral is issued when you order.
  • Tell the staff which test you have ordered if they ask.

How it works

  1. 1

    Order your test

    Choose your test and pay online. Your lab referral is created straight away.

  2. 2

    Give your sample

    Visit any of our partner sampling locations. No appointment needed at most of them.

  3. 3

    The lab analyses it

    Your sample is analysed at an accredited Swedish laboratory.

  4. 4

    Get your results

    Your values appear in your account with reference ranges and an explanation of each marker.

Good to know

How is cystatin C different from creatinine?

Creatinine levels are influenced by muscle mass, age, sex, and diet, which can skew results. Cystatin C is produced at a constant rate regardless of these factors, making it a more reliable kidney marker in many cases.

Can cystatin C predict heart disease?

Yes. Elevated cystatin C has been linked to increased cardiovascular risk, heart failure, and mortality in several studies, even in people without known kidney disease.

Should I test both cystatin C and creatinine?

Testing both can give a more complete picture. If the two results differ significantly, it can help your doctor pinpoint whether the issue is kidney-related or influenced by muscle mass.

What if both cystatin C and hsCRP are elevated?

This combination may indicate systemic inflammation rather than isolated kidney dysfunction. Additional inflammatory markers such as ESR or IL-6 can help clarify the situation.