Paltrinieri, Giraldi, Prolo, Scarpa, "et al". (2017) found that Birman cats have a high serum concentration of creatinine and symmetric dimethylarginine, but most Birman cats have higher concentrations of creatinine than SDMA. Creatinine is a creatine phosphate and is produced during metabolism of creatine, and is excreted through urination. SDMA is a methylated form of the amino acid arginine and is released during normal catabolisms of body proteins. Levels of creatinine and SDMA are found when Birman cats are tested for chronic kidney disease, for which they are at high risk. Birman cats are also at risk of developing feline infectious peritonitis; a disease that alters the renal function (creatinine levels in blood and urine) in the cats.