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Protein Electrophoresis Panel, Serum or Plasma, with Immunofixation

Published: August 9, 2026Updated: August 16, 2026

This panel separates the proteins in a blood sample by electrical charge and then uses a targeted follow-up test (immunofixation) to identify specific abnormal proteins if any are seen. It is used mainly to look for unusual antibody proteins that can occur in certain blood disorders.

Quick summary

["The test helps your care team detect and identify abnormal proteins in the blood, especially patterns seen in conditions affecting antibody-producing cells."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
111901-5
Short code
Cmp pr rte prc rsd phys Endscpy
Synonyms
Cmp pr rte prc rsd phys Endscpy
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
endoscopy
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

A blood sample is processed so its proteins are sorted into bands by an electrical field, a technique called electrophoresis. The pattern of bands shows the relative amounts of albumin and the various globulin proteins. If a band looks unusual, a second technique called immunofixation is used to identify which type of antibody protein it is.

Why Your Clinician May Order It

The panel is commonly ordered when a person has symptoms or lab findings that could point to an abnormal antibody protein, such as unexplained anemia, high blood calcium, kidney problems, frequent infections, or nerve symptoms. It may also be used to monitor a known condition over time or to help investigate an unusual total protein or globulin result.

How the Sample Is Collected

A routine blood draw from a vein in your arm is used. No special preparation is usually required, although your clinician will tell you if any medications or timing considerations apply. Tell your care team about medicines you take and any recent treatments, such as antibody therapies, that could affect the results.

Understanding the Results

Your report describes the protein pattern and, if needed, the type of abnormal protein found. Results are interpreted together with your symptoms, physical exam, and other laboratory tests. A normal pattern is reassuring, but an abnormal result does not by itself confirm a diagnosis; your clinician will explain what the findings mean for you. Reference ranges vary by laboratory.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

SPEP with Immunofixation

Frequently asked questions

Does this test diagnose cancer on its own?
No. It can reveal patterns that suggest a disorder of antibody-producing cells, but a diagnosis usually requires additional tests and clinical evaluation. Your clinician will interpret the results with other findings.
Do I need to fast before this blood draw?
Fasting is usually not required for this panel. Follow any specific instructions from your clinician, since preparation can depend on other tests being drawn at the same time.
Can medicines or treatments affect the results?
Yes. Some medications and treatments, including certain antibody-based therapies, can alter the protein pattern. Tell your care team about all medicines and recent treatments so the results can be interpreted correctly.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy