Skip to content

Serum or plasma concentration of total protein by nephelometry

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

This test measures the total amount of protein in your blood, including albumin and other proteins like globulins. Proteins are essential for many bodily functions, including transporting nutrients, maintaining fluid balance, and supporting immune responses.

Quick summary

["Total protein helps assess overall protein levels and potential issues like dehydration, liver disease, or kidney problems."]

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

Key facts at a glance

LOINC
50587-5
Short code
GTT 4h Pnl SerPl
Synonyms
GTT 4h Pnl SerPl
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.5
Ref high
12
Fasting
true
Population
adult
Sex
all
Age range
18–65 years
CPT
84436
SNOMED
302345006
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

Why Is This Test Done?

Your healthcare provider may order this test to check for conditions affecting protein levels, such as malnutrition, liver disease (like cirrhosis), kidney disease, or dehydration. It can also help monitor treatments for conditions like multiple myeloma or nephrotic syndrome.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it’s part of a liver or kidney function panel. Avoid smoking or strenuous activity for 30 minutes before drawing blood.

What Happens During the Test?

A healthcare professional will insert a small needle into a vein in your arm to draw blood. You may feel a brief pinch, but the process is quick. The blood sample is then sent to a lab for analysis using nephelometry, a method that measures how much light a protein scatters.

What the Results Mean

Results are typically reported in grams per deciliter (g/dL). Low protein levels may indicate conditions like malnutrition, severe liver or kidney disease, or excessive fluid loss. High levels could suggest dehydration, multiple myeloma, or certain inflammatory conditions.

Reference range

Adult: 4.5-12.0 μg/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Protein

Frequently asked questions

What causes low total protein levels?
Low total protein levels can result from conditions like severe liver disease (reducing albumin production), chronic kidney disease (leading to protein loss in urine), malnutrition (insufficient protein intake), or excessive fluid loss (dehydration). Certain medications or malabsorption syndromes may also play a role.
What causes high total protein levels?
High total protein levels may occur with dehydration (reducing plasma volume), multiple myeloma (a cancer of plasma cells), or inflammatory conditions. Rarely, it can be due to conditions like nephrotic syndrome (kidney disease causing proteinuria) or certain genetic disorders.
Do I need to fast before this test?
No fasting is typically required for this test alone, but if it’s part of a broader panel (e.g., liver or kidney tests), your provider may instruct fasting for 8–12 hours to ensure accurate results.
  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