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Living with Sarcosine dehydrogenase deficiency

A rare inherited metabolic condition with high sarcosine in the blood and urine that is often thought to be harmless.

Understanding Sarcosine dehydrogenase deficiency

Sarcosine dehydrogenase deficiency, also called sarcosinemia, is a rare inborn error of metabolism with high levels of the amino acid sarcosine.

GARD says it is most likely benign and not tied to significant symptoms. Some children found through newborn screening have stayed symptom-free. Some reports linked it to learning and nerve problems, growth failure, and other issues, but it is debated whether those were caused by sarcosinemia or were a coincidence.

Signs & symptoms

GARD doesn't list common symptoms. It reports the following as less common or debated:

  • Movement and balance problems
  • Poor muscle tone in infants
  • Trouble sleeping
  • Crossed eyes
  • Blindness present at birth

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in SARDH are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have genetic testing for the SARDH gene?
Is any monitoring needed if there are no symptoms?
Could another condition be causing the high sarcosine?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesSARDH

It is sometimes caused by changes in the SARDH gene and is autosomal recessive. It may also occur with glutaric acidemia type II or severe folic acid deficiency. In some people the cause is unknown.

GeneticInherited Metabolic

Also known as: deficiency of the sarcosine dehydrogenase complex; demethylation defect of n-methylglycine; high plasma sarcosine levels; hypersarcosinemia; sar; sarcosine dehydrogenase complex deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Sarcosine dehydrogenase deficiencyGARD ID 158 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Sarcosine dehydrogenase deficiency.

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Explore actively recruiting Sarcosine dehydrogenase deficiency studies with HealthSpark.

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