- 4-Hydroxyphenylacetic acid is primarily a tyrosine breakdown product. Acinetobacter, Clostridium, Klebsiella, Pseudomonas, and Proteus act on food high in tyrosine or tyramine (fermented foods, such as sausages, marmite, soybean products, fish sauce, beers, and wine). C. difficile is known to decarboxylate 4-hydroxyphenylacetic acid to produce p-cresol.
- 4-Hydroxyphenylacetic acid is found higher in olives, American cranberries, grape wines; lower in corn, beers, oats, cocoa beans, milk (cow), evening primrose. 4-Hydroxyphenylacetic acid was higher in the urine of those adhering to a Mediterranean diet.
- If elevated, evaluate protein intake, digestion, and gut bacteria. Quercetin has been proposed to reduce radicals of 4-hydroxyphenylacetic acid.
- Though the perfect test for small bowel bacterial overgrowth (SIBO) has yet to be devised, limited research has correlated 4-hydroxyphenylacetic acid with SIBO.
References:
- http://www.hmdb.ca/metabolites/HMDB0000020
- https://www.ncbi.nlm.nih.gov/pubmed/476929
Every lab result you’ve ever had, charted and explained.
Healthmatters is a tracker for your lab results. Upload a report from any lab, any country — every marker charted and explained.
Start with my report →All our content is backed by peer-reviewed studies, academic research, and trusted medical sources. We’re committed to accuracy and transparency — see our editorial policy for details.