Understanding Low FGF-23 Levels: Causes, Symptoms, and Next Steps

Low FGF-23 levels can impact phosphate balance in your body. Learn about the causes, symptoms, and when to consult a doctor.

Aug 19, 2026 3 min read

Check your result

pg/mL

Calculated in your browser - the number is not sent anywhere.

Fibroblast growth factor 23 (FGF-23) is a hormone primarily produced by bones. It plays a crucial role in regulating phosphate levels in the body. Phosphate is a mineral that is vital for building and repairing bones and teeth, and it is also essential for nerve function and muscle contraction. Low levels of FGF-23 can disrupt this balance, leading to various health concerns.

What is FGF-23?

FGF-23 is a hormone that helps regulate phosphate levels in the blood. It does this by reducing phosphate reabsorption in the kidneys, which means it helps the body excrete excess phosphate through urine. This hormone is critical for maintaining a healthy balance of phosphate, which is necessary for strong bones and overall health.

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results

Why does FGF-23 matter?

FGF-23 is important because it helps manage phosphate levels in the body. High levels of phosphate can lead to complications such as calcification of blood vessels and organs, which can be harmful. Conversely, low levels of FGF-23 can result in the body retaining too much phosphate, potentially leading to bone and kidney issues.

Causes of low FGF-23 levels

Low levels of FGF-23 can be caused by various factors, including:

  • Genetic conditions: Certain genetic disorders can affect FGF-23 production or function.
  • Kidney function: Kidney disease usually raises FGF-23 levels rather than lowering them, so it is not a typical cause of a low result.
  • Dietary factors: A diet low in phosphate can reduce the need for FGF-23 production.
  • Hormonal imbalances: Other hormonal changes in the body can influence FGF-23 levels.

Symptoms of low FGF-23 levels

While low FGF-23 levels may not always cause noticeable symptoms, they can lead to issues over time, such as:

  • Increased phosphate levels in the blood
  • Bone pain or discomfort
  • Fatigue or weakness
  • Potential kidney problems

Reading FGF-23 test results

FGF-23 levels are measured in picograms per milliliter (pg/mL). The normal range can vary depending on the specific assay used. For example, intact FGF-23 levels can be up to approximately 60 pg/mL. It is essential to discuss your specific results with your healthcare provider to understand their significance.

Frequently asked questions

What is the role of FGF-23 in kidney disease?
FGF-23 levels can rise early in kidney disease as the body attempts to balance phosphate levels. Monitoring FGF-23 can provide insights into kidney health.

Can low FGF-23 levels affect my bones?
Yes, low FGF-23 levels can lead to higher phosphate levels, potentially affecting bone health and increasing the risk of bone pain or fractures.

Is there a specific treatment for low FGF-23 levels?
Treatment focuses on managing underlying causes and maintaining balanced phosphate levels, often through dietary adjustments and, in some cases, medication.

When to see a doctor

If you have concerns about your FGF-23 levels or experience symptoms such as persistent bone pain, unexplained fatigue, or signs of kidney problems, it is advisable to consult a healthcare professional. They can provide guidance based on your individual health needs and test results.

Conclusion

Understanding the role of FGF-23 and its impact on your health is essential in managing your overall well-being. Always consult with your healthcare provider to interpret your test results and discuss any concerns you may have.

Disclaimer: This information is for educational purposes only and should not replace professional medical advice. Please consult your healthcare provider for personalized guidance.

FGF-23 (fibroblast growth factor 23): more on this topic

Test page What it measures, normal range, what moves it

Often checked together

Read this in another language

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results