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Albumin to Globulin Ratio (A/G Ratio) - Serum

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

This test measures the ratio of albumin and globulin proteins in your blood serum. It helps assess protein balance and potential nutritional or liver-related issues.

Quick summary

["The A/G ratio can indicate protein deficiencies or liver function problems."]

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

Key facts at a glance

LOINC
109947-2
Short code
Egg White IgG Msmt Ser
Synonyms
Egg White IgG Msmt Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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 Does This Test Measure?

Albumin and globulin are types of proteins found in your blood. Albumin helps maintain fluid balance in your body, while globulins play roles in immune function and transport of substances like hormones and metals. The A/G ratio compares their amounts, which can reflect overall protein status and health of organs like the liver.

Why Might You Need This Test?

Doctors may order an A/G ratio test to evaluate conditions such as malnutrition, liver disease, chronic kidney disease, or certain immune disorders. It can also help monitor treatment responses in patients with protein-related conditions.

How Is This Test Performed?

A small blood sample is drawn from a vein, usually in your arm. The serum portion is separated and analyzed to determine the protein levels of albumin and globulin, then their ratio is calculated.

What Are Common Causes of Abnormal Results?

Low A/G ratio may suggest malnutrition, liver disease, or chronic kidney disease. A high ratio could indicate conditions like multiple myeloma (a blood cancer), severe liver disease, or dehydration. Results alone don’t diagnose specific conditions but may prompt further testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

A/G Ratio

Frequently asked questions

What does an abnormal A/G ratio mean?
An abnormal result doesn’t indicate a single cause but may point to conditions like malnutrition, liver disease, or immune disorders. Your doctor will discuss findings with you and may recommend further tests to explore specific concerns.
How often should I get this test?
Frequency depends on your health status. If you have a chronic condition like liver disease or kidney problems, your doctor may order this test periodically to monitor your progress. For routine check-ups, it’s usually not part of standard testing unless recommended.
Can lifestyle changes affect this test?
Yes, diet and overall health can influence protein levels. Eating a balanced diet rich in protein may help maintain normal ratios. Avoiding excessive alcohol or addressing chronic conditions like liver disease can also support healthier protein balance.
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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