Skip to content

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

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

This test measures your total protein in blood and evaluates the balance between albumin and globulin proteins, which helps assess overall protein status and potential issues like malnutrition or inflammation.

Quick summary

["Check protein health and protein-globulin balance in your blood."]

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

Key facts at a glance

LOINC
14359-4
Short code
Gram Stn Prt
Synonyms
Gram Stn Prt
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
gram-stain
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?

Total protein combines albumin and globulin proteins, which are vital for maintaining blood volume, immune function, and tissue repair. The albumin-to-globulin ratio compares these two components to identify imbalances that may signal conditions like chronic kidney disease, liver problems, or malnutrition.

Why Might Your Doctor Order This Test?

Your doctor may request this test to diagnose or monitor conditions affecting protein levels, such as kidney disease, liver disease, malnutrition, or autoimmune disorders. It can also help evaluate responses to treatments for these conditions.

How Is This Test Performed?

A small blood sample is drawn from a vein, typically in your arm. The sample is sent to a lab where it is analyzed to measure total protein and the ratio of albumin to globulin using standard laboratory techniques.

What Are Common Causes of Abnormal Results?

Low total protein or abnormal ratios may indicate conditions like malnutrition, chronic kidney disease, liver disease, or severe infections. High levels could suggest dehydration, multiple myeloma, or certain inflammatory diseases.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal protein levels or ratios can provide critical clues about underlying health issues, guiding treatment decisions to address protein deficiencies, inflammation, or organ dysfunction.

Short name

Serum Protein Profile

Frequently asked questions

What does a low total protein or abnormal albumin-to-globulin ratio mean for my health?
A low total protein or altered ratio may signal malnutrition, kidney or liver problems, or chronic illness. Your doctor will discuss findings with you and may recommend dietary changes, further tests, or treatments to address the cause.
How often should I expect to have this test repeated?
Frequency depends on your health status and why the test was ordered. Your doctor will determine how often to repeat it, often based on symptoms, treatment progress, or monitoring a specific condition.
Can diet or lifestyle changes affect protein test results?
Yes, diet and lifestyle can influence protein levels. Eating a balanced diet rich in proteins may help maintain normal levels, while chronic illness or poor absorption can lower them. Always follow your doctor’s advice regarding dietary adjustments.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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