Library
/
Kidney Health
/
Blood Urea Nitrogen (BUN) Testing

Blood Urea Nitrogen (BUN) Testing

January 21, 2026
Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Do I need a Blood Urea Nitrogen (BUN) test?

Feeling unusually fatigued, nauseous, or noticing changes in your urination? Could your kidneys be struggling, and might a BUN test reveal what's going on?

BUN measures waste products in your blood that your kidneys filter out. When levels are off, it signals your kidneys may need support or that dehydration and other factors are affecting your health.

Testing your BUN gives you a quick snapshot of kidney function and helps pinpoint whether these symptoms stem from filtration issues, guiding you toward the right lifestyle adjustments and personalized care to protect your long-term health.

Book your test now
With Superpower, you have access to a comprehensive range of biomarker tests
Book a Blood Urea Nitrogen (BUN) Testing Test
Physician reviewed
CLIA-certified labs
HIPAA compliant

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 Blood Urea Nitrogen (BUN) testing

  • Measures how well your kidneys filter waste from your blood.
  • Flags early kidney stress before you notice symptoms like fatigue or swelling.
  • Explains unexplying confusion, nausea, or weakness tied to waste buildup.
  • Guides medication dosing to protect kidneys from drug-related harm.
  • Tracks kidney function over time if you have diabetes or hypertension.
  • Clarifies dehydration severity when paired with creatinine levels.
  • Supports heart failure management by monitoring fluid and kidney balance.
  • Best interpreted with creatinine and your symptoms for complete kidney insight.

What is Blood Urea Nitrogen (BUN)?

Blood urea nitrogen (BUN) measures the amount of nitrogen carried in your blood as part of urea, a waste product made in your liver. When your body breaks down protein from food or from your own tissues, it produces ammonia. Your liver converts this toxic ammonia into urea, a safer compound that travels through your bloodstream to your kidneys.

Your kidneys act as the body's filtration system

Healthy kidneys filter urea out of your blood and send it into your urine for removal. BUN reflects how well this filtration process is working. It also responds to how much protein you're breaking down and how well your liver is converting ammonia.

BUN tells a story about balance

When protein breakdown, liver function, and kidney filtration are all in harmony, BUN stays within a stable range. Changes in BUN can signal shifts in kidney performance, hydration status, or protein metabolism. It's a simple snapshot of a complex conversation between your diet, liver, kidneys, and overall fluid balance.

Why is Blood Urea Nitrogen (BUN) important?

Blood urea nitrogen measures the amount of nitrogen in your blood that comes from urea, a waste product your liver creates when it breaks down protein. Your kidneys filter this waste into urine, so BUN reflects how well your kidneys and liver are working together to process and eliminate metabolic byproducts. Normal values typically range from 7 to 20, with optimal levels sitting comfortably in the middle of that range.

When BUN drops below normal

Low BUN is uncommon but can signal inadequate protein intake, severe liver disease, or overhydration that dilutes blood concentration. Because the liver produces urea, advanced cirrhosis or hepatic failure may prevent normal urea formation. Pregnant women often have slightly lower BUN due to increased blood volume and enhanced kidney filtration.

When BUN climbs above normal

Elevated BUN usually points to reduced kidney function, dehydration, or excessive protein breakdown. When kidneys struggle to filter waste, urea accumulates in the bloodstream, which can cause fatigue, confusion, nausea, and in severe cases, uremic symptoms. High-protein diets, gastrointestinal bleeding, heart failure, and certain medications can also raise BUN without primary kidney damage.

The bigger metabolic picture

BUN connects kidney health, liver function, hydration status, and protein metabolism into one snapshot. Tracking it alongside creatinine helps distinguish true kidney impairment from temporary dehydration or dietary effects. Over time, persistently abnormal BUN may signal chronic kidney disease, cardiovascular strain, or metabolic imbalance that warrants closer investigation.

What do my Blood Urea Nitrogen (BUN) results mean?

Low BUN values

Low values usually reflect reduced urea production or increased clearance. This can occur with low protein intake, liver dysfunction that impairs the urea cycle, overhydration that dilutes blood concentration, or pregnancy when expanded blood volume and increased kidney filtration lower BUN naturally. Very low values may also appear in severe malnutrition or conditions affecting protein metabolism.

Optimal BUN values

Being in range suggests balanced protein metabolism, adequate liver synthesis of urea, and healthy kidney filtration. Optimal values typically sit in the mid to lower portion of the reference range, reflecting efficient nitrogen waste handling without excess protein breakdown or reduced kidney clearance. Stability over time indicates consistent metabolic and renal function.

High BUN values

High values usually reflect increased protein breakdown, reduced kidney filtration, or dehydration that concentrates the blood. Common causes include kidney impairment that slows urea clearance, dehydration from inadequate fluid intake or losses, high protein intake, gastrointestinal bleeding where digested blood adds nitrogen load, or catabolic states like infection or tissue injury. The kidneys may be functioning normally but overwhelmed by excess urea production.

Factors that influence BUN interpretation

BUN is influenced by hydration status, protein intake, muscle mass, age, and medications like diuretics or corticosteroids. It is often interpreted alongside creatinine to distinguish kidney dysfunction from pre-renal causes like dehydration. Pregnancy, acute illness, and recent high-protein meals can all shift values temporarily.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Similar biomarker tests from Superpower

See more biomarkers

Frequently Asked Questions

Read more
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
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
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.

“Best health check of my entire life.”

Vinay Hiremath, Founder of Loom

“Life changing”

Jordi Hayes, Founder of Capital.xyz

Frequently Asked Questions about Blood Urea Nitrogen (BUN) Testing

What is Blood Urea Nitrogen (BUN) and what does it measure in a blood test?

Blood Urea Nitrogen (BUN) measures the amount of nitrogen in your blood that comes from urea, a waste product made when your body breaks down protein. Your liver converts leftover nitrogen into urea, and your kidneys filter urea into urine. Because BUN depends on both urea production and kidney clearance, it offers a practical snapshot of kidney filtering power and overall protein-waste handling.

How does a BUN test show whether my kidneys are filtering waste properly?

BUN reflects the balance between how much urea your liver produces and how efficiently your kidneys remove it. If kidney filtration slows, urea can accumulate and BUN rises. When kidneys filter steadily and hydration/protein intake are stable, BUN tends to remain in a consistent range. It’s most useful as an indicator of renal waste clearance when interpreted with creatinine and your symptoms.

What is the normal range for BUN, and what is considered an optimal BUN level?

Most labs list a typical BUN reference range of about 7 to 20 mg/dL. “Optimal” often means sitting comfortably in the middle or lower half of that range when hydration and dietary protein are stable. A single value is less informative than trends over time, especially if you have diabetes, hypertension, or other risks for chronic kidney disease and changing filtration.

Why is my BUN high, and what are the most common causes of elevated BUN?

High BUN most commonly points to dehydration (more concentrated blood) or reduced kidney filtration from acute kidney injury or chronic kidney disease. It can also increase with high protein intake or increased protein breakdown from infection, fever, bleeding (including gastrointestinal bleeding), or muscle damage. Heart failure may raise BUN as fluid balance and kidney perfusion change, affecting waste clearance.

What does a low BUN level mean, and when should I be concerned about it?

Low BUN usually reflects reduced urea production or increased clearance. Common causes include low protein intake, overhydration (dilution), pregnancy (expanded blood volume and enhanced filtration), or liver dysfunction that impairs urea production. Symptoms are often subtle, but fatigue, poor wound healing, or signs of malnutrition can appear if protein stores are depleted. Low BUN typically prompts review of nutrition, hydration, and liver health.

How do dehydration and hydration status affect BUN results and symptoms?

Hydration has a strong effect on BUN because fluid status changes blood concentration and kidney perfusion. Dehydration often elevates BUN and may cause fatigue, confusion, nausea, weakness, or reduced urination as waste concentrates. Overhydration can dilute BUN and lower the result. BUN is especially helpful for estimating dehydration severity when evaluated with creatinine and the BUN-to-creatinine ratio.

How should BUN be interpreted with creatinine and the BUN-to-creatinine ratio?

BUN is best interpreted alongside creatinine because both reflect kidney filtration but respond differently to hydration and protein metabolism. A disproportionate rise in BUN compared with creatinine can suggest dehydration-related (prerenal) causes rather than intrinsic kidney damage. Reviewing symptoms, fluid status, and trends helps distinguish kidney dysfunction from dietary protein changes, acute illness, or metabolic stress that can shift BUN independently.

Can high protein intake or protein breakdown raise BUN even if my kidneys are normal?

Yes. Because urea is produced when protein is metabolized, higher dietary protein or increased tissue breakdown can raise BUN without primary kidney failure. Catabolic states such as infection, fever, bleeding, or muscle damage can increase nitrogen load and urea production. This is why BUN is “more than just kidney function” - it also reflects protein metabolism. Pairing BUN with creatinine improves accuracy when diet or illness is changing.

Which medications or health conditions can change BUN and affect how results are read?

Several factors can shift BUN and complicate interpretation, including hydration changes, acute illness, and medications. Diuretics may raise BUN by altering fluid balance, and corticosteroids can increase protein breakdown, increasing urea production. Health conditions such as liver dysfunction (lower urea production), heart failure (fluid and kidney perfusion changes), diabetes, and hypertension (long-term kidney stress) can also affect BUN trends and meaning.

How is BUN used to monitor kidney health over time in diabetes, hypertension, or heart failure?

BUN helps track kidney filtering capacity and metabolic balance over time, especially in diabetes or hypertension where kidney stress can develop before obvious symptoms. In heart failure, BUN supports monitoring fluid and kidney balance as perfusion changes. Persistent elevation can signal chronic kidney disease risk and is linked with long-term outcomes, including cardiovascular risk. For the clearest picture, clinicians trend BUN with creatinine and symptoms over time.

Finally, healthcare that looks at the whole you