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Total Protein with Albumin-to-Globulin Ratio (Serum/Plasma)

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

This test measures your total protein levels and evaluates the balance between albumin and globulin proteins in your blood.

Quick summary

["Understanding your protein balance helps identify potential issues with protein production or breakdown."]

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

Key facts at a glance

LOINC
7208-2
Short code
Cream Cheese BasoBnd Ab Qn
Synonyms
Cream Cheese BasoBnd Ab Qn
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
27
Ref high
33
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
lhr
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Does Total Protein Measure?

Total protein includes all proteins in your blood, primarily albumin and globulin. Albumin helps maintain blood pressure and holds fluids in circulation, while globulins support immune function and transport substances like hormones and metals.

How Is the Albumin-to-Globulin Ratio Used?

The ratio compares albumin to globulin. A higher albumin-to-globulin ratio may suggest conditions like malnutrition or chronic inflammation, while a lower ratio could indicate liver disease or immune disorders.

Why Might This Test Be Ordered?

Your healthcare provider may order this test to assess overall protein status, diagnose conditions affecting protein synthesis or breakdown, or evaluate chronic diseases like liver disease or kidney problems.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The sample is processed to separate serum or plasma for testing. Avoid eating or drinking for 8–12 hours before the test if instructed.

Reference range

Adult: 27-33 pgN/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Protein profile with A/G ratio

Frequently asked questions

Abnormal results may indicate conditions such as malnutrition, liver disease, chronic infections, or autoimmune disorders. Low albumin could signal fluid loss or poor liver function, while elevated globulins may reflect immune activation or inflammation.
This test alone doesn’t diagnose a specific condition. Results are interpreted alongside other symptoms, medical history, and lab values.
How long will it take to get my results?
Results are typically available within 24–48 hours, depending on your lab’s processing schedule. Follow-up with your healthcare provider to discuss findings.
Can I eat or drink before this test?
Check with your provider for specific instructions, but generally, fasting may be recommended for optimal accuracy. Avoid alcohol or high-protein foods 24 hours prior if advised.
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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