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Protein Electrophoresis (Serum) with Immunofixation

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

This test measures the different types of proteins in your blood, including albumin and globulins, and checks for any unusual proteins that may indicate conditions like multiple myeloma or other disorders affecting protein production.

Quick summary

["Helps identify protein abnormalities that may signal underlying health issues."]

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

Key facts at a glance

LOINC
80348-6
Short code
EPEC eae gene Stl Ql NAA+n-prb
Synonyms
EPEC eae gene Stl Ql NAA+n-prb
Category
chemistry
Sample
stool
Container
Clean container
Units
N/A
Ref low
0
Ref high
5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
non-probe-amp-tar
CPT
82378
SNOMED
394995008
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

What Proteins Are Measured?

The test separates blood proteins into bands based on size and charge. Key proteins include albumin (the most abundant), globulins (which include antibodies and other immune proteins), and smaller proteins like alpha-1 and alpha-2 globulins. Immunofixation further identifies specific proteins that may be abnormal, such as monoclonal proteins in conditions like multiple myeloma.

Why Is This Test Done?

Doctors may order this test to diagnose or monitor conditions like multiple myeloma, amyloidosis, chronic inflammatory diseases, or kidney disease. It can also help evaluate symptoms such as fatigue, weight loss, or unexplained protein in urine.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is then processed to separate serum (the liquid part after clotting). The serum is analyzed using electrophoresis to separate proteins and detect any unusual patterns or proteins.

What to Expect Before the Test

No special preparation is typically needed, but you may be asked to fast for 8–12 hours before the test if instructed by your healthcare provider. Wear comfortable clothing and bring any necessary medications.

Reference range

Non-smokers: <2.5 ng/mL; Smokers: <5.0 ng/mLN/A

Specimen: stool

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein patterns can indicate conditions such as multiple myeloma (where abnormal proteins called monoclonal gammas appear), kidney disease (where protein loss may be detected), or chronic infections or autoimmune diseases. High or low levels of specific proteins can also signal other health concerns that require further evaluation.

Short name

Serum Protein Electrophoresis

Frequently asked questions

What does a high or low protein level mean?
High levels of certain proteins, such as monoclonal spikes, may suggest conditions like multiple myeloma or Waldenström macroglobulinemia. Low albumin levels could indicate liver disease, malnutrition, or kidney problems. Always discuss results with your doctor, as they’ll interpret findings in the context of your overall health.
How long does it take to get results?
Results are usually available within 1–3 business days, depending on lab processing times. Your doctor will contact you to discuss findings once they’re ready.
Can I eat or drink before this test?
Check with your doctor or lab for specific instructions, but generally, fasting is not required unless directed otherwise. If fasting is advised, avoid food and liquids (except water) for 8–12 hours before the test.
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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