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KIDNEY BIOMARKER

Cystatin C

Cystatin C

The optimal range for Cystatin C (Cystatin C) is commonly cited as 0.5–0.9 mg/L, tighter than the standard lab reference range of 0.5–1.0 mg/L. Kidney function marker independent of muscle mass - more accurate than creatinine in the muscular, elderly, or ill.

STANDARD RANGE
0.5–1.0 mg/L
OPTIMAL (OPTIMIZATION)
0.5–0.9 mg/L
RANGE VISUALIZATION

How Cystatin C ranges relate

The standard lab range vs the optimization-focused target. Illustrative trajectory shows what a 12-week improvement pattern looks like — not real user data.

0.51STANDARD LAB RANGEOPTIMALWK 0WK 12ILLUSTRATIVE TRAJECTORY (NOT REAL DATA)
Standard lab rangeOptimization-focused targetIllustrative trajectory

What Cystatin C Measures

Cystatin C is a low-molecular-weight protein produced by all nucleated cells at a steady rate, freely filtered by the glomerulus, and not secreted. Unlike creatinine (which varies with muscle mass), cystatin C gives a cleaner read on glomerular filtration rate - particularly in populations where creatinine misleads (very muscular individuals, the elderly, patients with sarcopenia).

Cystatin-based eGFR equations (like CKD-EPI cystatin) are increasingly used in research and complex clinical cases.

What Affects This Biomarker

Cystatin C is influenced by: glomerular filtration rate (the signal of interest), thyroid disease (hyperthyroidism raises), corticosteroid use (raises), and some inflammatory states. Unaffected by muscle mass, diet, or recent exercise - its main advantages.

In the Context of Peptide Protocols

Optional add-on when creatinine-based eGFR is ambiguous (e.g., very muscular lifters often show artificially low eGFR on creatinine). If available, run alongside creatinine every 6–12 months in peptide users.

Frequently Asked Questions

What does Cystatin C measure?

Cystatin C is a low-molecular-weight protein produced by all nucleated cells at a steady rate, freely filtered by the glomerulus, and not secreted. Unlike creatinine (which varies with muscle mass), cystatin C gives a cleaner read on glomerular filtration rate - particularly in populations where creatinine misleads (very muscular individuals, the elderly, patients with sarcopenia).

What is the optimal range for Cystatin C?

The optimal range for Cystatin C is commonly cited as 0.5–0.9 mg/L. The standard lab reference range is 0.5–1.0 mg/L.

What affects Cystatin C levels?

Cystatin C is influenced by: glomerular filtration rate (the signal of interest), thyroid disease (hyperthyroidism raises), corticosteroid use (raises), and some inflammatory states. Unaffected by muscle mass, diet, or recent exercise - its main advantages.

Where This Fits in Your Panel

Cystatin C is one marker on a fuller panel. The Peptide Blood Work Checklist lays out the complete baseline panel, what to add by protocol type, and when to retest.

See the full blood work checklist →
Track Cystatin C over time.

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Last reviewed: June 2026

Informational only - not medical advice. Reference ranges vary by lab and individual context. Work with a licensed provider to interpret your specific results.